J4 ›› 2012, Vol. 11 ›› Issue (9): 53-55.

• 临床医学 • 上一篇    下一篇

腋臭手术治疗三种方法疗效比较

目的:评价传统的梭形切除术、微小切口搔刮术与射频笔触式电针治疗腋臭的临床效果。方法:2008年6月至2011年1月
收治的腋臭患者186例,其中20例采用传统梭形切除术治疗,116例微小切口搔刮术,50例射频笔触式电针治疗腋臭;对3组手术治疗的效果与并发症情况进行回顾性分析并做比较。结果:经过术后3个月至1年的随访,3组治愈率分别为100%、97.7%和68.4%。结论:3种方法治疗腋臭均有效,传统的梭形切除术对异味的祛除能更彻底,但如考虑到术后并发症、术后美观及恢复期等因素,患者损失的代价较大;射频笔触式电针治疗腋臭损伤小,但是复发率高;微小切口搔刮术则疗效确切,同时能兼顾美观的优点。   

  1. 1.大理学院附属医院,云南大理 671000;2.昭通市中医院,云南昭通 657000
  • 收稿日期:2012-02-11 出版日期:2012-09-15 发布日期:2012-09-15
  • 作者简介:许晓光,副主任医师,主要从事烧伤、整形、美容研究.

Comparative Study of the Efficacy of Three Surgical Treatments of Osmidrosis

  1. 1. Affiliated Hospital of Dali University, Dali, Yunnan 671000, China;
    2. Zhaotong Hospital of Chinese Medicine, Zhaotong, Yunnan 657000, China
  • Received:2012-02-11 Online:2012-09-15 Published:2012-09-15

摘要:

目的:评价传统的梭形切除术、微小切口搔刮术与射频笔触式电针治疗腋臭的临床效果。方法:2008年6月至2011年1月
收治的腋臭患者186例,其中20例采用传统梭形切除术治疗,116例微小切口搔刮术,50例射频笔触式电针治疗腋臭;对3组手术治疗的效果与并发症情况进行回顾性分析并做比较。结果:经过术后3个月至1年的随访,3组治愈率分别为100%、97.7%和68.4%。结论:3种方法治疗腋臭均有效,传统的梭形切除术对异味的祛除能更彻底,但如考虑到术后并发症、术后美观及恢复期等因素,患者损失的代价较大;射频笔触式电针治疗腋臭损伤小,但是复发率高;微小切口搔刮术则疗效确切,同时能兼顾美观的优点。

关键词: 腋臭, 微小切口搔刮术, 梭形切除术, 射频

Abstract:

Objective: To compare the efficacy of traditionary fusiform-shape excision, micro incision curettage and radiofrequency
ablation in the treatment of osmidrosis. Methods: One hundred and eighty-six patients with osmidrosis were treated by traditionary fusiform shape excision method (20 cases), micro incision curettage (116 cases), and radiofrequency ablation (50 cases). The therapeutic effects and complications were retrospectively analyzed. Results: The patients were followed up for 3 months to 1 year. The cure rate was 100%, 97.7% and 68.4%, respectively. Conclusion: All three methods are effective for the treatment of osmidrosis. The odor symptom could be improved a lot with traditionary fusiform shape excision method, which however would cost lots on complication, aesthetic improvement and convalescent period. The radiofrequency ablation was with smallest injuries and high relapse rate. Micro incision curettage was efficacy and aesthetic.

Key words: osmidrosis, fusiform-shape excision, micro incision curettage, radiofrequency ablation

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