Comparison of efficacy and complications among three small incision procedures in treatment of axillary osmidrosis
10.3760/cma.j.issn.1671-0290.2013.03.003
- VernacularTitle:三种小切口术式治疗腋臭的疗效及并发症的对比研究
- Author:
Xiaoguang SU
;
Qinghuai LI
;
Xuelian ZHAO
;
Chui ZHANG
;
Chunli ZHANG
;
Zhuonan ZHANG
- Publication Type:Journal Article
- Keywords:
Axillary osmidrosis;
Hyperhidrosis;
Apocrine glands;
Minimally invasive surgery
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2013;(3):168-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To treat axillary osmidrosis by using three procedures (small incision apocrine curettage,cut-off operation and aspiration surgery),to observe the postoperative complications,efficacy and the pathological changes of skin,and to explore the advantages of these three procedures.Methods Seventy-five cases of evere bilateral axillary osmidrosis were involved in this study,totally 150 axillary surgery area,which was randomly divided into different group:Group A (curettage group); Group B (cut-off group) and Group C (aspiration group).Different surgical treatment was conducted in the three groups of operation area.Results Incidence of complications was 28.30 ％ and total effective rate was 94.34 ％ in Group A; in Group B,incidence of complications was 6.38 ％,and total effective rate was 97.87 ％ ; in Group C,incidence of complications was 4.00 ％ and total effective rate was 78.00 ％.The incidence of complications was significantly different between Groups A and B and between Groups A and C,but not significant difference between Groups B and C.The cure rate and efficiency were not significant difference between Groups A and B groups,but significant difference was found between Groups A and C and Groups B and C.HE staining results showed that the dermal tissues were partially destroyed in Group A and B,and no apocrine sweat glands were not seen within the dermis and subcutaneous tissues; in Group C,the dermal tissue was rarely destroyed,and a lot of apocrine sweat glands were reserved within the dermis and subcutaneous tissues.Conclusions Efficacy of curettage and cut-off procedures is better,but that of aspiration is worse in the treatment of axillary asmidrosis.The complications of cut-off surgery and aspiration are less,but urettage has more complications.Therefore,the efficacy of cut-off operation is the best with least complications among the three procedures.
