Clinical observation of small incision surgery combined with multi-point skin fixation in the treatment of axillary osmidrosis
10.3760/cma.j.cn431274-20220817-00816
- VernacularTitle:小切口手术结合多点皮肤固定治疗腋臭的临床疗效观察
- Author:
Liu DUAN
1
;
Meilin CHEN
;
Yingbo ZHANG
;
Bihong ZHANG
Author Information
1. 长沙市第三医院皮肤科，长沙 410013
- Keywords:
Axillary osmidrosis;
Small incision surgery;
Multi-point skin fixation
- From:
Journal of Chinese Physician
2023;25(4):532-536
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy and safety of small incision surgery combined with multi-point skin fixation in the treatment of axillary osmidrosis.Methods:104 patients with axillary osmidrosis who were treated in the dermatology department of the Third Hospital of Changsha from January 2017 to December 2020 were retrospectively analyzed. They were divided into the observation group (56 cases) and the control group (48 cases). Both groups were treated with small incision pruning combined with porous drainage. On this basis, the observation group was treated with multi-point skin fixation gauze compression bandage, while the control group was treated with conventional gauze stacking compression bandage. The efficacy, satisfaction, postoperative wound healing time and complication rate of the two groups were compared.Results:The effective rate of the observation group and the control group were 96.43%(54/56) and 95.83%(46/48) respectively, with no significant difference ( P>0.05). Compared with preoperative, the Visual Analogue Scale (VAS) score of patients in the two groups was significantly lower after operation, and the difference was statistically significant (both P<0.05). The satisfaction of patients in the observation group was higher than that in the control group [(4.05±1.15)points vs (3.19±1.00)points], and the difference was statistically significant ( t=4.10, P<0.05). The wound healing time in the observation group was shorter than that in the control group, and the incidence of complications was lower than that in the control group, with statistically significant difference (all P<0.05). Conclusions:Small incision surgery combined with multi-point skin fixation for the treatment of axillary osmidrosis has good curative effect, short postoperative wound healing time and fewer complications, and improved patient satisfaction, which can be popularized in clinical application.
