Surgical treatment of axillary odor in Chinese patients: a meta analysis
10.3760/cma.j.issn.1671-0290.2022.04.016
- VernacularTitle:治疗腋臭手术方法的Meta分析
- Author:
Jing YU
1
;
Pengfei SUN
;
Di XU
;
Peipei WANG
Author Information
1. 山东济南章丘区人民医院烧伤整形外科,济南 250200
- Keywords:
Bromidrosis;
Network meta-analysis;
Surgical operation, operative;
Plastic surgery;
Minimally invasive
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(4):316-319
- CountryChina
- Language:Chinese
-
Abstract:
Objective:In China, although axillary osmidrosis is common in plastic surgery, there is no standard procedure for the treatment of axillary osmidrosis. So we compared the efficacy of 6 axillary osmidrosis surgical treatments with network meta-analysis in order to provide reference for the clinical surgical treatment of axillary osmidrosis in Chinese patients.Methods:From January 2018 to December 2021, Chinese and English databases including Wanfang Database, VIP Chinese Science and Technology Periodical Full-text Database (VIP) and CNKI, PubMed, Cochrane Library, Embase were searched by the Plastic Surgery Department of Zhangqiu People′s Hospital in Jinan, Shandong province. And some relevant studies were collected for network meta-analysis.Results:47 studies including a total of 6543 subjects were identified for meta-analysis. After analysis, 4 of the 15 pairwise comparisons were not statistically significant, and the effect of swelling aspiration + subcutaneous pruning was more significant. According to the surface under the cumulative ranking curve (SUCRA), the efficacy of 6 surgical methods for the treatment of axillary osmidrosis was as follows: swelling aspiration + subcutaneous pruning > subcutaneous scratching+ subcutaneous pruning > subcutaneous pruning > fusiform skin resection > subcutaneous scratching > swelling aspiration.Conclusions:In surgical treatment of axillary osmidrosis, swelling aspiration + subcutaneous pruning is the best. It is worth popularizing in the clinical work of treating axillary osmidrosis patients. Due to the limitations of this study, the conclusion of this network meta-analysis still needs to be further confirmed by a well-designed randomized controlled trial.