小切口吸刮并翻转直视下修剪治疗腋臭的疗效分析

Analysis on the curative effect of small incision suction and scraping combined with trim under direct vision in the treatment of bromhidrosis

目的探讨小切口吸刮并翻转直视下修剪治疗腋臭的临床疗效。方法回顾性分析该院于2013年8月至2019年8月收治的223例双侧腋臭患者,其中观察组113例,对照组110例。观察组采用腋窝两侧小切口吸刮并翻转直视下修剪术式,对照组采用腋横纹切口翻转直视下修剪术式。比较两组手术时间、术后切口大小、术后拆线时间、手术疗效、术后并发症、术后瘢痕及复发情况并进行统计学分析。结果观察组的手术时间长于对照组,切口小于对照组,术后瘢痕评分和术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。两组在手术疗效、术后拆线时间和术后复发率方面差异无统计学意义(P>0.05)。结论腋窝两侧小切口吸刮并翻转直视下修剪式治疗腋臭,较传统方式手术切口小,术后瘢痕轻,术后并发症发生率低,值得在临床进一步推广。

Objective To investigate the clinical effect of the small incision suction and scraping combined with trim under direct vision method in the treatment of bromhidrosis.Methods A retrospective analysis was conducted in a total of 223 patients with bilateral bromhidrosis admitted to the hospital from August 2013 to August 2019,including 113 cases in the observation group,and 110 cases in the control group.The observation group was treated with small incision suction and scraping combined with trim under direct vision method,and the control group was treated with the method of axillary transverse incision.The operation time,postoperative incision size,postoperative suture removal time,surgical efficacy,postoperative complications,postoperative scar and recurrence rate in the two groups were compared and statistically analyzed.Results The operation time in the observation group was longer than that in the control group,the incision size was smaller than that in the control group,the postoperative scar score and the incidence of postoperative complications were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference between the two groups in operative effect,postoperative suture removal time and postoperative recurrence rate(P>0.05).Conclusion Compared with traditional method to treat bromhidrosis,the small incision suction and scraping combined with trim under direct vision method has superiority in small incision,mild scar and lower incidence of complication,which may be a better choice for the treatment of bromhidrosis.