小切口联合水刀与双切口皮下修剪法治疗腋臭的临床效果比较

Comparison of the clinical efficacy of water-jet via small incision versus subcutaneous trimming via double incisions in the treatment of axillary osmidrosis

目的比较小切口联合水刀与双切口皮下修剪法治疗腋臭的临床效果。方法回顾性分析153例接受腋臭手术治疗患者的临床资料,根据手术方式分为研究组(小切口联合水刀法)93例,对照组(双切口皮下修剪法)60例,比较两组手术时间、临床疗效及并发症的发生情况。结果研究组(单侧)平均手术时间为17.5 min,对照组为35.0 min,其差异有统计学意义(P<0.05)。研究组总有效率为98.9%,对照组总有效率为96.7%,其差异无统计学意义(P>0.05)。研究组患者满意度明显优于对照组,其差异有统计学意义(P<0.05)。两组患者术后并发症,如皮肤坏死、囊肿、血肿等发生率比较,其差异无统计学意义(P>0.05);瘢痕发生率,研究组明显优于对照组(P<0.05)。结论小切口联合水刀治疗腋臭手术时间较短,根治效果较好,患者接受度较高,术后切口美观,值得临床推广应用。

Objective To compare the clinical efficacy of water-jet via small incision versus subcutaneous trimming via two incisions in the treatment of axillary osmidrosis.Methods The clinical data of 153 patients with axillary osmidrosis who underwent surgical treatment was retrospectively analyzed.According to the different surgical modes,patients were divided into two groups.Ninety-three patients in the research group were treated with water-jet via small incision,while patients in the control group were treated with subcutaneous trimming via double incisions.The operative period,clinical efficacy,patients’satisfaction,and postoperative complications between the 2 groups were analyzed and compared.Results The average operative period of the research group was 17.5 min,while that of the control group was 35 min(P<0.05).The total effective rate of the research group was 98.9%,while the control group was 96.7%.The diff erence was not statistically significant(P>0.05).Patient satisfaction in the research group was better than that in the control group(P<0.05).There was no significant difference in complications,such as cutaneous necrosis,cyst,or hematoma between the two groups(P>0.05).There were fewer incidents of scars in the research group than in the control group(P<0.05).Conclusion The application of water-jet via small incision in the treatment of axillary osmidrosis results in short operative duration,definite postoperative efficacy,high patient satisfaction,and less scarring.Therefore,it is worthy of popularization and application in clinic.