【摘要】：目的評(píng)價(jià)三種不同切口下大汗腺修剪術(shù)治療腋臭的臨床療效。方法將入選的182例腋臭患者隨機(jī)分為3組,分別在腋后壁V形切口皮下修剪法、腋后壁W形切口皮下修剪法和腋皺襞切口皮下修剪法下行大汗腺清除術(shù)。結(jié)果腋后壁V形切口皮下修剪法、腋后壁W形切口皮下修剪法和腋皺襞切口皮下修剪法下行大汗腺清除術(shù)的有效率依次為98.33%,96.72%,85.08%,復(fù)發(fā)率依次為1.67%,3.28%,4.92%,差異均無統(tǒng)計(jì)學(xué)意義(P均0.05),但其并發(fā)癥發(fā)生率(依次為8.33%,22.95%和37.70%)差異有統(tǒng)計(jì)學(xué)意義(P0.01),其中腋后壁V形切口皮下修剪法并發(fā)癥發(fā)生率低于其他兩種方法的并發(fā)癥發(fā)生率。結(jié)論該三種不同切口下大汗腺清除術(shù)治療腋臭的療效相當(dāng),但腋后壁V形切口皮下修剪法治療腋臭具有術(shù)后并發(fā)癥少等優(yōu)點(diǎn)。
[Abstract]:Objective to evaluate the clinical effect of three kinds of major sweat gland pruning under different incisions in the treatment of axillary osmidrosis. Methods 182 patients with axillary osmidrosis were randomly divided into 3 groups: subcutaneous pruning of posterior axillary wall V incision, subcutaneous trimming of posterior axillary W-incision and subcutaneous pruning of axillary fold incision. Results the subcutaneous pruning of the V-shaped incision in the posterior axillary wall, The effective rates of subcutaneous pruning of W-shaped incision in posterior axillary wall and hypodermic pruning of axillary fold incision were 98.33 and 96.72%, respectively, and the recurrence rate was 1.67 and 3.28 and 4.92, respectively. There was no significant difference (P 0.05), but the incidence of complications was as follows: There was significant difference between 8.33 (22.95%) and 37.70% (P0.01). The incidence of complications in the subcutaneous trimming of the posterior axillary wall was lower than that in the other two methods. Conclusion the treatment of axillary osmidrosis by the three different incisions has the same effect, but the subcutaneous pruning of the V-shaped incision on the posterior axillary wall has the advantages of less postoperative complications and so on.
【作者單位】： 平頂山市第二人民醫(yī)院;
【分類號(hào)】：R758.741
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本文編號(hào)：2190981