三种常见腋臭治疗术的临床疗效及并发症比较

目的 比较微创小切口术、梭形切除术及CO2激光治疗术治疗腋臭的临床疗效及并发症.方法 334例双侧腋臭患者分别采用三种手术方法治疗,其中微创小切口术136例(微创手术组),梭形切除术97例(梭形切除组),CO2激光治疗术101例(激光治疗组).结果 对所有患者术后3个月进行随访,微创手术组和梭形切除组的治疗总有效率分别为98.5％和95.8％,均明显高于激光治疗组的87.1％,差异均有显著性(P＜0.05).微创手术组和激光治疗组术后并发症发生率间差异无显著性,但两组明显低于梭形切除组,其差异均有显著性(P＜0.05).结论 微创小切口术和梭形切除术治疗腋臭临床疗效较CO2激光术好,但并发症较CO2激光术多.

Comparison of Clinical Efficacy and Complications in Three Common Methods for the Treatment of Axillary Osmidrosis

ObjectiveTo compare the clinical curative effect and complications of the minimally invasive surgery,small incision spindle resection and CO2 laser treatment for axillary osmidrosis.Methods334 cases of patients were treated with three surgery methods for the axillary osmidrosis respectively.Among them,136 cases (minimally invasive surgery group)received small incision minimally invasive surgery,97 patients (spindle excision group)received spindle resection,and 101 cases (laser treatment group)received CO2 laser treatment.ResultsThree months after follow-up in all patients,minimally invasive surgery group and spindle excision group was equal in effective rate,but the two groups were significantly higher than the laser treatment group,the differences were statistically significant(P<0.05).From the incidence rate of postoperative complications,minimally invasive surgery group and laser treatment group had no significant difference,but the two groups were significantly lower than spindle excision group,the differences were statistically significant(P<0.05).ConclusionMinimally invasive surgery is effective to axillary osmidrosis,but has complications easily.CO2 laser therapy treatment has less complications,but poor clinical curative effect to axillary osmidrosis.