改良小切口手术治疗腋臭的有效性及安全性。
Effectiveness and safety of the improved mini-incision surgery for osmidrosis treatment.
机构信息
Department of Plastic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou City, China.
Department of Stomatology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou City, China.
出版信息
J Cosmet Dermatol. 2021 Dec;20(12):3986-3990. doi: 10.1111/jocd.14061. Epub 2021 Mar 16.
BACKGROUND
As the mainstream treatment of axillary osmidrosis, surgical treatment is still limited by various complications, such as paresthesia, scars, local infection, hematoma, flap necrosis, and long recovery time. In this study, we tried to adopt the improved mini-incision surgery for osmidrosis treatment.
OBJECTIVES
The paper aims to evaluate the clinical effectiveness and safety of the improved mini-incision surgery for axillary osmidrosis treatment.
PATIENTS/METHODS: Clinical series of patients underwent improved mini-incision surgery were retrospectively reviewed. Dates of complications, including paresthesia, scars, infection, hematoma, skin necrosis, and recurrence were analyzed.
RESULTS
Among 61 cases, 58 cases had a preoperative osmidrosis score of 3 and 3 cases had a preoperative score of 2; while 13 cases had a postoperative osmidrosis score of 0, 43 cases had a postoperative score of 1 and 5 cases had a postoperative score of 2, significantly lower than that before (p < 0.001). A total of 12 axillae complications occurred, 2 axillae (1.6%) had paresthesia; 5 axillae (4.1%) had hematoma; 2 axillae (1.6%) had local flap necrosis due to hematoma; and 3 axillae (2.4%) had hypertrophic scars.
CONCLUSIONS
The results showed that the improved mini-incision surgery was safe and effective for osmidrosis treatment.
背景
作为治疗腋臭的主流方法，手术治疗仍然受到各种并发症的限制，如感觉异常、疤痕、局部感染、血肿、皮瓣坏死和恢复时间长等。在本研究中，我们尝试采用改良小切口手术治疗腋臭。
目的
评估改良小切口手术治疗腋臭的临床效果和安全性。
患者/方法：回顾性分析接受改良小切口手术的腋臭患者的临床资料。分析并发症的发生日期，包括感觉异常、疤痕、感染、血肿、皮肤坏死和复发等。
结果
61 例患者中，术前腋臭评分为 3 分者 58 例，评分为 2 分者 3 例；术后腋臭评分为 0 分者 13 例，评分为 1 分者 43 例，评分为 2 分者 5 例，明显低于术前（p<0.001）。共发生 12 例腋窝并发症，2 例（1.6%）腋窝感觉异常；5 例（4.1%）腋窝血肿；2 例（1.6%）因血肿导致局部皮瓣坏死；3 例（2.4%）腋窝出现增生性瘢痕。
结论
改良小切口手术治疗腋臭安全有效。
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