CAJ | 학술논문

目的：观察小切口皮下剪除术及负压抽吸术治疗腋臭的术后并发症及效果，探讨两种手术方式各自的优缺点。方法选择2009年6月~2013年6月，在深圳市人民医院一门诊部普外科进行微创腋臭手术的患者80例，随机分为A组和B组，每组各40例。A组采用小切口皮下剪除术，B组采用负压抽吸术进行治疗。术后观察腋窝术区并发症，如血肿、皮肤坏死、伤口裂开及异味情况，并均于半年后观察术区瘢痕及异味情况。结果 A组患者术后并发症发生率为15.0%，治愈率为90.0%，总有效率为97.5%；B组患者术后并发症发生率为5.0%，治愈率为30.0%，总有效率为72.5%。两组并发症发生率、治愈率及总有效率比较，差异均有统计学意义(P<0.05)。结论微创腋臭治疗的手术方法中，小切口皮下剪除术的术后并发症较多但疗效较好；负压抽吸术的术后并发症较少但疗效略差。
목적：관찰소절구피하전제술급부압추흡술치료액취적술후병발증급효과，탐토량충수술방식각자적우결점。방법선택2009년6월~2013년6월，재심수시인민의원일문진부보외과진행미창액취수술적환자80례，수궤분위A조화B조，매조각40례。A조채용소절구피하전제술，B조채용부압추흡술진행치료。술후관찰액와술구병발증，여혈종、피부배사、상구렬개급이미정황，병균우반년후관찰술구반흔급이미정황。결과 A조환자술후병발증발생솔위15.0%，치유솔위90.0%，총유효솔위97.5%；B조환자술후병발증발생솔위5.0%，치유솔위30.0%，총유효솔위72.5%。량조병발증발생솔、치유솔급총유효솔비교，차이균유통계학의의(P<0.05)。결론미창액취치료적수술방법중，소절구피하전제술적술후병발증교다단료효교호；부압추흡술적술후병발증교소단료효략차。
0bjective To observe the postoperative complications and efficacy of treating axillary osmidrosis by two pro-cedures (small incision cut-off operation and aspiration surgery), and explore the advantages of these two procedures. Methods From June 2009 to June 2013, at Department of General surgery in the First Out-patient, People's Hospital of Shenzhen City, 80 cases of bilateral axillary osmidrosis were selected and randomly divided into group A (n=40) and group B (n=40). Small incision cut-off operation was used in group A, and aspiration surgery was used in group B. The postoperative complications, clinical efficiency and scar after 6 months of two groups were observed. Results In Group A, incidence of complications was 15.0%, cure rate was 90.0% and total effective rate was 97.5%; in Group B, inci-dence of complications was 5.0%, cure rate was 30.0% and total effective rate was 72.5%, two groups were compared, the differences were statistically significant (P<0.05). Conclusion Efficacy of small incision cut-off procedures is bet-ter, but the complications are more, while the results of aspiration surgery are opposite.