摘要
目的评价小切口切除术、肿胀麻醉下吸刮术与肉毒毒素注射治疗腋臭的临床效果。方法2006年9月至2009年4月收治的腋臭患者350例，其中180例采用小切口切除治疗，120例肿胀麻醉下吸刮术治疗，50例行肉毒毒素注射治疗；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。结果经术后3～24个月的随访，3组治愈率分别为90．6％、84．8％和84．2％，有效率均达到100％。结论小切口切除术、吸刮术、肉毒毒素注射均为治疗腋臭的有效方法，但小切口切除对异味的祛除能更彻底。如考虑到术后的并发症，术后美观及恢复期短的等原因，对局部异味轻中度的患者，肉毒毒素注射治疗更适合；对中、重度的局部异味患者，可采用吸刮术。
Objective To compare the efficacy of decollement, combined tumescent liposuction and curettage, Botox injection in the treatment of osmidrosis. Methods From September 2006 to April 2009, 350 patients with osmidrosis were treated by decollement method in 180 cases, curettage in 120 cases,and Botox injection in 50 cases. The therapeutic effect and complications were retrospectively analyzed. Results The patients were followed up for 3-24 months. The cure rate was 90. 6% , 84.8% and 84.2% in deeollement, curettage and Botox groups, respectively. The effective rate was 100% in all groups. Conclusions All the three methods are effective for the treatment of osmidrosis. The odor symptom can be improved a lot with decollement method. Considering the complication, downtime and cosmetic results, Botox injection is suitable for patients with minor or median odor, while combined liposuetion and curettage is selected for patients with median to severe odor.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2010年第5期348-350,共3页
Chinese Journal of Plastic Surgery
作者简介
通信作者：刘志飞，Email：zhfeliuliuchong@163．com
