三种手术方法治疗腋臭的疗效及并发症分析

Analysis on efficacy and complications of three surgical methods in treatment of axillary osmidrosis

目的分析三种手术方法治疗腋臭的疗效及并发症发生情况。方法选择109例(218侧)腋臭患者,按手术方法分为三组(A、B、C),A组采用梭形皮肤皮下组织切除缝合术,B组采用顺腋皮纹单切口皮下修剪术,C组采用顺腋皮纹不等分双切口皮下修剪术。比较三组患者的疗效及并发症发生率。结果按气味方法判定疗效,A、B、C组优良率均达100%。A、B、C组患者并发症发生率分别为13.9%、12.5%、3.3%。A、B组患者并发症发生率与C组比较,差异有统计学意义(P<0.05)。结论三种手术方法治疗腋臭均能取得确切疗效,但采用顺腋皮纹不等分双切口皮下修剪术兼顾了美容效果并降低了术后并发症发生率,是治疗腋臭较好的手术方法之一。

Objective To analyze the efficacy and complications of the three surgical methods in treating axillary os- midrosis. Methods 109 cases （218 sides） of axillary osmidrosis were selected and divided into three groups （A, B, C） according to the surgical methods. The group A adopted the resection and suture of spindle skin subcutaneous tissue, the group B adopted subcutaneous pruning with single incision along central crease of axillary and the group C adopted subcutaneous pruning with un- equal double incisions along central crease of axillary. The efficacies and the occurrence rates of complications were compared a- mong these three groups. Results According to the curative efficacy judged by smell,the excellent and good rate in the group A, B and C all reached 100%. The occurrence rates of complications in the group A, B and C were 13.9%, 12.5% and 3.3% re- spectively. The comparison of the excellent and good rates and the occurrence rates of complications among these three groups had statistically significant difference （P〈O.05）. Conclusion Three surgical methods in the treatment axillary osmidrosis can obtain the definite effect. But the subcutaneous pruning with unequal double incisions along central crease of axillary has the cosmetic effects, reduces the incidence rate of postoperative complications, and is the better operative method for treating axillary osmidrosis.