首页|腋皱襞平行双切口与横切口治疗腋臭的临床疗效比较分析

腋皱襞平行双切口与横切口治疗腋臭的临床疗效比较分析

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目的 比较采取腋皱襞平行双切口和横切口行腋臭手术的疗效.方法 选取在莆田福德医院整形外科接受手术治疗的腋臭80例患者,按照切口选择不同分为对照组(平行双切口)和观察组(横切口),比较两组临床疗效.结果 观察组瘀斑消退时间(5.30±1.25)d,愈合时间(10.14±2.46)d,短于对照组[瘀斑消退时间(7.26±1.15)d,愈合时间(12.84±2.80)d](P<0.05).观察组皮下瘀斑6例(15.00%),切口裂开1例(2.50%),未见血肿、感染,合计7例(17.50%),少于对照组[皮下瘀斑11例(27.50%),血肿2例(5.00%),切口裂开2例(5.00%),感染1例(2.50%),合计16例(40.00%)](P<0.05).观察组治疗有效率(92.50%)和对照组(90.00%)对比无统计学差异(P>0.05).两组复发率对比无统计学差异(P>0.05).结论 腋皱平行双切口和横切口均能达到良好疗效,术后复发率较低,无明显差异.但平行双切口并发症更多,术后愈合时间长,康复速度较慢,对患者术后生活质量带来一定影响.因此建议优先选择横切口进行手术,在并发症和术后康复速度上具有一定优势.
Comparative Analysis of Clinical Efficacy Between Parallel Double Incision and Transverse Incision in the Treatment of Axillary Malodor
Objective To compare the therapeutic effects of using parallel double incisions and transverse incisions in the treatment of underarm odor surgery.Methods A total of 80 patients with axillary odor who underwent surgical treatment in Putian Fude Hospitalwere randomly selected and divided into a control group(parallel double incision)and an observation group(transverse incision),and the clinical efficacy of the two groups was compared.Result The observation group had a shorter time for the disappearance of ecchymosis(5.30±1.25)days and healing(10.14±2.46)days compared to the control group[ecchymosis disappearance time(7.26±1.15)days and healing time(12.84±2.80)days](P<0.05).In the observation group,there were 6 cases of subcutaneous ecchymosis(15.00%)and 1 case of incision rupture(2.50%),with no hematoma or infection observed,totaling 7 cases(17.50%),which was lower than the control group[11 cases of subcutaneous ecchymosis(27.50%),2 cases of hematoma(5.00%),2 cases of incision rupture(5.00%),and 1 case of infection(2.50%),totaling 16 cases(40.00%)](P<0.05).There was no statistically significant difference in the effective rate of treatment between the observation group(92.50%)and the control group(90.00%)(P>0.05).There was no statistically significant difference in the recurrence rates between the two groups(P>0.05).Conclusion Both parallel double incisions and transverse incisions of the axillary fold can achieve good therapeutic effects,with a low postoperative recurrence rate and no significant difference.However,parallel double incisions have more complications,longer postoperative healing time,and slower recovery speed,which have a certain impact on the quality of life of patients after surgery.Therefore,it is recommended to prioritize choosing a transverse incision for surgery,as it has certain advantages in terms of complications and postoperative recovery speed.

Underarm OdorAxillary FoldParallel Double IncisionsHorizontal IncisionComplication

张圆锦、吴玉水、林智滔

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莆田福德医院整形外科,福建莆田,351106

腋臭 腋皱襞 平行双切口 横切口 并发症

2024

中国医疗美容
中国整形美容协会

中国医疗美容

影响因子:0.454
ISSN:2095-0721
年,卷(期):2024.14(6)