小切口皮下搔刮法结合中草药灌注法治疗腋臭的临床研究(1)

http://www.100md.com 2018年4月1日 《中国美容医学》 2018年第7期

     [摘要]目的：探討微小切口皮下搔刮法结合中草药灌注法治疗腋臭的临床效果。方法：选择2017年1月-2017年6月笔者医院接诊的147例腋臭患者作为研究对象，采用随机数字表法分为观察组(n=72)和对照组(n=75)。观察组采用微小切口皮下搔刮法结合中草药灌注法进行治疗，对照组单纯给予微小切口皮下搔刮法进行治疗。比较两组患者治疗期间手术情况、临床疗效、复发情况、并发症发生情况及汉密尔顿焦虑量表(Hamilton anxiety scale，HAMA)评分情况。结果：治疗后，观察组总有效率为94.44%显著高于对照组的81.33%，差异有统计学意义(P<0.05)。观察组术中出血量、复发率显著低于对照组，手术时间高于对照组，差异有统计学意义(P<0.05)。观察组并发症总发生率为8.33%显著低于对照组的25.33%，差异有统计学意义(P<0.05)。两组HAMA评分均有所降低，但观察组显著低于对照组，差异有统计学意义(P<0.05)。结论：微小切口皮下搔刮法联合中草药灌注法治疗腋臭疗效确切，可减小创伤，减轻瘢痕，同时消除皮下血肿及皮瓣坏死，降低复发率，效果优于单独进行微小切口皮下搔刮法，值得临床推广应用。
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    [关键词]腋臭；微小切口；中草药；灌洗；搔刮

    [中图分类号]R758.74+1 [文献标志码]A [文章编号]1008-6455(2018)07-0042-04

    Abstract： Objective To explore the clinical effect of mini incision subcutaneous scraping combined with Chinese herbal perfusion in the treatment of axillary odour. Methods 147 patients of axillary odour who received therapy in our hospital from January 2017 to June 2017 were selected as the research object， and were divided into the observation group (n=72) and the control group (n=75) by the random digital table method. The observation group was treated with a small incision subcutaneous squeegee method combined with Chinese herbal medicine perfusion method， and the control group was given a small incision subcutaneous squeegee method for treatment. The clinical efficacy， recurrence rate， incidence of complications and the Hamilton Anxiety Scale (HAMA) score were compared between the two groups. Results After treatment， the total effective rate of the observation group was 94.44%， which was significantly higher than that of the control group (81.33%)， the difference was statistically significant(P<0.05). The intraoperative blood loss and recurrence rate in the observation group were significantly lower than those in the control group， the operation time was higher than that of the control group(P<0.05). And the total incidence of complications in the observation group was 8.33%， which was significantly lower than that in the control group(25.33%， P<0.05). The two groups of HAMA scores were reduced， but the observation group was significantly lower than the control group(P<0.05). Conclusion The micro-incision curettage combined with Chinese herbal medicine perfusion method is effective in treating odor， which can reduce trauma， reduce scar， eliminate subcutaneous hematoma and skin flap necrosis， and reduce recurrence rate. The effect is due to the small incision subcutaneous squeegee method， which is worthy of popularization and application.

    Key words： axillary odour； micro incision； Chinese herbal medicine； lavage； curettage, http://www.100md.com(孙福生)

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