Subcutaneous endoscope assisted suction-curettage shaver versus small-incision scissor for the treatment of axillary osmidrosis
10.3760/cma.j.cn114453-20190304-00078
- VernacularTitle:皮下内镜辅助切割吸引器与小切口修剪术治疗腋臭的比较
- Author:
Zhiqiang WANG
1
;
Yan HU
;
Quan LIU
;
Linlin LIU
;
Hua JIANG
;
Ran DU
Author Information
1. 滨州医学院烟台附属医院整形美容科 264100
- Keywords:
Endoscopes;
Axilla;
Sweat glands
- From:
Chinese Journal of Plastic Surgery
2020;36(9):1029-1033
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy and safety of subcutaneous endoscope assisted suction-curettage shaver and small-incision scissor in the treatment of axillary osmidrosis.Methods:A total of 71 cases (142 sides) of patients with osmidrosis were treated. Among them, 38 cases (76 sides) were treated with subcutaneous endoscope assisted suction-curettage shaver for the resection of apocrine sweat glands, and 33 cases (66 sides) were treated with small-incision scissor. The postoperative recovery was evaluated by Tung grading. The postoperative complications, efficacy, operative time and satisfaction rate were also included in the comparison evaluation.Results:The effective rate of the subcutaneous endoscope assisted suction-curettage shaver group was 100% (75/75), which was significantly higher than that of the small-incision scissor group (89.39%, 59/66), with a statistically significant difference ( χ2=8.479, P=0.004). Complications in subcutaneous endoscope assisted suction-curettage shaver group(3.95%, 3/76) were significantly lower than that in small-incision scissor(25.76%, 17/66), χ2=39.699, P<0.001. The operative time of the endoscope group [(58.212±4.897) min] was slightly longer than that of small-incision scissor group [(54.079±6.096) min]. But the dressing time, stitches removal time and rehabilitation exercise time were significantly shorter than those of the small-incision scissor group, with statistically significant differences ( P<0.05). The satisfaction rate of subcutaneous endoscope assisted suction-curettage shaver group(97.37%, 74/76) was significantly higher than that of the small-incision scissor group(74.24%, 49/66), χ2=33.102, P<0.001. Conclusions:Subcutaneous endoscope assisted suction-curettage shaver has more significant efficacy, less postoperative complications, faster recovery and higher satisfaction than small-incision scissor in the treatment of axillary osmidrosis.
