摘要
目的 探究注射治疗与两种小切口微创法治疗腋臭的临床效果及优劣性。方法 选取2023年12月至2024年12月于焦作市人民医院就诊的120例腋臭患者,分为局部注射A型肉毒素组、正中小切口微创组和后小切口微创组,每组40例。术后3、6、12个月随访,观察治疗效果、复发情况及并发症。结果 注射组总有效率92.5%,正中小切口组97.5%,后小切口组100%,总有效率比较,差异无统计学意义(χ^(2)=6.014,P=0.198)。注射组术后3个月复发17例,6个月复发23例,总复发率100%(40/40);正中小切口组术后12个月1例复发,总复发率2.5%(1/40);后小切口组无复发,三组复发率比较,差异有统计学意义(χ^(2)=115.665,P<0.01)。注射组无并发症出现;正中小切口组4例皮下血肿、2例瘢痕形成,不良反应发生率15%(6/40);后小切口组3例皮下血肿、2例瘢痕形成,不良反应发生率12.5%(5/40),三组患者并发症发生率比较,差异有统计学意义(χ^(2)=6.205,P=0.045)。结论 小切口微创法疗效显著且持久,但可能遗留瘢痕,恢复期较长;注射法虽效果短暂,但安全且恢复快。若仅需短期缓解,注射法较优;若追求长期疗效,应选择小切口微创法。
Objective To compare the clinical efficacy and advantages and disadvantages of injection therapy and two types of minimally invasive small-incision methods for treating axillary osmidrosis.Methods Select 120 patients with axillary odor who received treatment at Jiaozuo People's Hospital from December 2023 to December 2024.The patients were divided into three groups:the local injection of botulinum toxin type A group,the midline small-incision minimally invasive group,and the posterior small-incision minimally invasive group,with 40 cases in each group.Follow-ups were conducted at 3,6,and 12 months post-operation to observe the therapeutic effects,recurrence,and complications.Results The total effective rate was 92.5%in the injection group,97.5%in the midline small-incision group,and 100%in the posterior small-incision group.However,the differences in total effective firate among the three groups were not statistically significant (χ²=6.01, P =0.198). Regarding recurrence, 17 cases recurred at 3 months and 23 cases at 6 months in the injection group, with a total recurrence rate of 100%;1 case recurred at 12 months in the midline small - incision group, with a total recurrence rate of 2.5%;and no recurrence was observed in the posterior small - incision group, with a fitotal recurrence rate of 0%. The differences in recurrence rate among the three groups were statistically significant (χ^(2)=115.67, P <0.01). In terms of complications, no complications occurred in the injection group, with a total incidence rate of 0%;4 cases of subcutaneous hematoma and 2 cases of scar formation were observed in the midline small - incision group, with a total incidence rate of 15%;and 3 cases of subcutaneous hematoma and 2 cases of scar formation were observed in the posterior small - incision group, with a total fiincidence rate of 12.5%. The differences in the total incidence rate of complications among the three groups were statistically significant (χ² =6.21, P =0.045). Conclusions fiThe minimally invasive small - incision methods for treating axillary osmidrosis are significantly effective and long - lasting, but may result in scars and a longer recovery period. In contrast, injection therapy for axillary osmidrosis has a short - term effect, but the treatment process is safe and recovery is rapid. For patients who only need short - term relief, injection fitherapy is a better choice. For those seeking long - term efficacy, the minimally invasive small - incision methods are more appropriate.
作者
段璐艺
成思聪
胡晋云
卫艳萍
张宁宁
张金凤
DUAN Luyi;CHENG Sicong;HU Jinyun;WEI Yanping;ZHANG Ningning;ZHANG Jinfeng(Department of Dermatology,Jiaozuo People's Hospital Affiliated to Xinxiang Medical University,Jiaozuo 454002,Henan Province,China)
出处
《中国医疗美容》
2025年第4期67-70,91,共5页
China Medical Cosmetology
基金
河南省科技攻关计划项目(192102310361)。
关键词
腋臭
肉毒素
注射治疗
微创
手术治疗
axillary hyperhidrosis
botulinum toxin
injection therapy
minimally invasive
surgical treatment
作者简介
通信作者:卫艳萍,Email:15138012211@163.com。
