微创搔刮修剪术与皮肤梭形切除术治疗腋臭临床效果比较

The clinical effect of minimally invasive scraping and trimming compared with that of fusiform excision of the skin in treatment of bromidrosis

目的比较微创搔刮修剪术与皮肤梭形切除术治疗腋臭的临床效果。方法选择本院2009年5月至2012年6月收治的150例腋臭患者,随机分为A、B两组,每组75例,A组(微创搔刮修剪术),男30例,女45例;B组(皮肤梭形切除术),男35例,女40例,术后随访1年,对两组患者手术治疗的效果及并发症情况进行回顾性分析,并作比较。结果经术后12个月随访,A组显效70例,B组显效72例,P>0.05,差异无显著性。结论两种手术均为有效方法,但在术后拆线时间、切口愈合、恢复日常生活及工作方面,微创搔刮修剪术疗效优于皮肤梭形切除术。

Objective To compare the clinical effects of minimally invasive scraping and trimming with that of fusiform excision of the skin in treatment of bromidrosis. Methods 150 bromidrosis patients were assigned randomly to two groups (n=75 each), who were treated in our department from May 2009 to June 2012. Group A (minimally invasive scraping and trimming) included male 30 cases, female 45 cases;Group B (fusiform excision of the skin) included 35 male cases, 40 female cases. During the follow-up period of 1 year, the effects and complications of operation treatment of two groups were retrospectively analyzed and compared. Results After 12 months of follow-up after operation, the time of operation of group A is less than that of group B, and taking out stitches of group A was earlier than that of group B. There was statistic difference between group A and group B (P<0.05). There was no statistic difference between group A and group B on signiifcant effects (P>0.05). Conclusion The two operations were effective methods, but the postoperative incision healing time of group A is less than that of group B;Recovery of daily life and work of group A is sooner than that of group B.