Analysis of the effectiveness of multiple parallel axillary sulcus microincisions for excising apocrine glands and subcutaneous fat in the treatment of axillary osmidrosis
Objective To assess the effectiveness of multiple parallel axillary sulcus microincisions for excising apocrine glands and subcutaneous fat in the treatment of axillary osmidrosis.Methods From September 2019 to December 2022,Department of Plastic and Aesthetic Surgery at Affiliated Hospital of Hebei Engineering University admitted 48 patients with axillary osmidrosis.Patients were randomly allocated to a research group(n=24)and a control group(n=24)using a random number table.The research group underwent multi-ple parallel axillary sulcus microincisions for apocrine gland and subcutaneous fat excision,while the control group received a traditional bilateral axillary sulcus apocrine gland resection.Both groups were compared in terms of treatment outcomes,complication rates,healing times,and patient satisfaction.Results There were no significant differences in baseline data between the two groups(P＞0.05).In terms of complications,the incidence of hematoma and epidermal necrosis showed no significant difference between the groups(P＞0.05),but the research group had significantly lower rates of wound necrosis and dehiscence than the control group(P＜0.05).The average healing time was shorter in the research group(P＜0.05),and patient satisfaction was significantly higher in the research group(P＜0.05).Conclusion The use of multiple parallel axillary sulcus microincisions for excising apocrine glands and subcutaneous fat is an effective treatment for axillary osmidrosis,associated with lower risks of incisional complications,faster healing,and greater patient satisfaction.It is recommended for clinical application and promotion.
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