首页|直视下腋窝皱襞小切口会师法治疗腋臭的临床效果观察

直视下腋窝皱襞小切口会师法治疗腋臭的临床效果观察

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目的 探讨直视下腋窝皱襞小切口会师法治疗腋臭的临床效果.方法 选择2023年2月至2024年5月河南科技大学第二附属医院收治的80例腋臭治疗患者,按照治疗方法不同分为对照组和观察组,各40例.对照组则采用腋下皱襞双切口大汗腺修剪术及浅层脂肪剪除术,观察组采用直视下腋窝皱襞小切口会师法治疗.患者手术体位、腋窝备皮、肿胀麻醉处理同对照组.比较两组临床疗效,监测患者手术及康复进程,并观察患者术后并发症情况.结果 观察组术后6个月腋臭分级0级者占比(72.50%)显著高于对照组(52.50%),而2级者占比(2.50%)显著低于对照组(12.50%),且腋臭手术治疗总有效率(97.50%)显著高于对照组(85.00%),差异有统计学意义(P<0.05).观察组术后出血量(54.26±4.63)mL、术后瘀斑消除时间(10.89±0.97)d、拆线时间(5.16±0.65)d、切口愈合时间(10.02±0.85)d和愈合后瘢痕宽度(3.26±0.34)cm显著低于对照组,差异有统计学意义(P<0.05).结论 直视下腋窝皱襞小切口会师法应用于腋臭治疗,可有效减少出血量,加快患者术后恢复速度,降低并发症风险,腋臭治疗效果更为彻底,临床疗效,该手术方案安全高效,值得推广借鉴.
Clinical observation of the treatment of axillary osmidrosis by small incision along the axillary wrinkle under direct vision
Objective To explore the clinical effect of treating axillary odor with a small incision along theillary crease under direct vision.Methods Select 80 patients with axillary odor treated at the Second Affiliated Hospital of Henan University of Science and Technology from February 2023 to May 2024,and divide them into a control group and an observation group according to different treatment methods,with 40 patients in each group.The control group bilateral incision for excision of the apocrine glands and superficial fat under the armpit,while the observation group was treated with a small incision along axillary crease under direct vision.The surgical position,armpit preparation,and swelling anesthesia were the same as in the control group.The clinical efficacy the two groups was compared,and the surgical and recovery process of the patients was monitored.The formation of scars and postoperative complications were also observed.Results The proportion of patients with grade 0 axillary odor in the observation group(72.50%)was significantly higher than that in the control group(52.50%)6 months after surgery,while the proportion of patients with grade 2(2.50%)was significantly lower than that in the control group(12.50%).The total effective rate of axillary odor surgery treatment(97.50%)was significantly higher than that in the control group(85.00%),and the difference was statistically significant(P<0.05).The postoperative bleeding volume(54.26±4.63)mL,time to remove bruising(10.89±0.97)d,suture removal time(5.16±0.65)d,incision healing time(10.02±0.85)d,and scar width after healing(3.26±0.34)cm in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The incision along the axillary crease under direct vision for treating axillary odor can effectively reduce the bleeding volume,accelerate the postoperative recovery of the patients,lower the risk of complications.The treatment of axillary odor is more thorough,and the surgical plan is safe and efficient,which is worth promoting and referring to

direct vision axillary wrinkle small incision rendezvous methodaxillary odorclinical effectincision healingscar

郜云良、班超、李劲涛

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河南科技大学第二附属医院皮肤科,河南洛阳,471000

直视下腋窝皱襞小切口会师法 腋臭 临床效果 切口愈合 瘢痕厚度

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(11)