两种手术切口治疗腋臭疗效及并发症分析
投稿时间:2017-09-27  修订日期:2017-10-26  点此下载全文
引用本文:倪彬婷,李力群,潘盛盛.两种手术切口治疗腋臭疗效及并发症分析[J].医学研究杂志,2018,47(6):116-121
DOI: 10.11969/j.issn.1673-548X.2018.06.027
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作者单位E-mail
倪彬婷 325000 温州医科大学附属第一医院  
李力群 325000 温州医科大学附属第一医院 wz.llg@163.com 
潘盛盛 325000 温州医科大学附属第一医院  
中文摘要:目的 观察不同手术切口直视下顶泌汗腺修剪术治疗腋臭的临床疗效及并发症,探讨和寻求疗效最佳的手术方法。方法 对笔者医院2011年1月~2017年5月收治的352例腋臭患者的临床资料进行分析,观察不同手术方法的远期疗效及并发症。手术方法分为微线形切口直视下顶泌汗腺修剪术和微梭形切口直视下顶泌汗腺修剪术,对观察数据进行统计学分析。结果 微线形切口直视下顶泌汗腺修剪术190例中,切口中位愈合时间为11.6天,愈合天数11.2±0.6天,手术切口1期愈合170例,1期愈合率89.5%,远期疗效治愈188例(98.9%),显效2例(1.1%)。微梭形切口直视下顶泌汗腺修剪术162例,手术切口中位愈合时间为18.5天,愈合天数18.3±0.4天,手术切口1期愈合125例,1期愈合率77.2%,远期疗效治愈158例(97.5%),显效4例(2.5%)。微线形切口直视下顶泌汗腺修剪术和微梭形切口直视下顶泌汗腺修剪术治疗腋臭均能取得良好效果,两者疗效比较差异无统计学意义(P>0.05),但微线形切口治疗腋臭较微梭形切口治疗腋臭其创口愈合快,1期愈合率高且快,差异有统计学意义(P<0.05)。结论 微线形切口直视下修剪顶泌汗腺治疗腋臭可以作为治疗腋臭的首选手术方法。
中文关键词:腋臭  顶泌汗腺  并发症
 
Comparison of Clinical Effects and Complications of Two Kinds Apocrine Pruning Surgical Incision in Treatment of Bromhidrosis
Abstract:Objective To observe the clinical curative effect and complications of different surgical incision in the treatment of bromhidrosis and to explore the best surgical method. Methods We retrospectively analyzed the clinical data of 352 patients with bromhidrosis from January 2011 to May 2017 and observed the long-term effects of different surgical methods. One surgical methods was apocrine pruning through the micro linear incision, another was apocrine pruning through the micro spindle incision. Then observation data was statistically analyzed. Results 190 cases were treated with micro linear incision method. The median incision healing time was 11. 6d, healing time was 11.2±0.6d, the incision of 170 cases were primary healed, primary healing rate was 89.5%.188 cases were cured for the long-term curative effect(98.9%), 2 cases were markedly improved (1.1%). 162 cases were treated with micro spindle incision method. The median incision healing time was 18.5d, healing time was 18.3±0.4d, the incision of 125 cases were primary healed, primary healing rate was 77.2%,158 cases were cured for the long-term curative effect(97. 5%), 4 cases were markedly improved (2.5%). Apocrine sweat glands pruning through the micro linear incision and the micro spindle incision both can achieve good effect. The curative effect has no statistical difference. Whereas after the operation that apocrine sweat glands pruning through the micro linear incision, the wound healed faster, the rate of primary healing is higher, the difference was statistically significant. Conclusion It is the preferred surgical method of apocrine sweat glands pruning through the micro linear incision for the treatment of bromhidrosis.
keywords:Bromhidrosis  Apocrine  Complication
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