一项回顾性队列研究，比较水动力手术系统和传统单切口手术治疗腋窝鞘膜积液的临床效果。

IF 2.3 4区医学 Q2 DERMATOLOGY

Journal of Cosmetic Dermatology Pub Date : 2025-01-13 DOI:10.1111/jocd.16755

Lufan Xia, Mu He, Xiaoqiang Liu, Jinghong Zhang, Ying Chen, Jiaping Zhang

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引用次数: 0

摘要

目的：比较水手术系统与传统单切口手术技术治疗腋窝积液的术后瘢痕、并发症发生率及疗效。方法：回顾性收集2023年1月至2024年1月在陆军军医大学第一附属医院整形外科日间外科行根治性腋窝积臭手术的所有患者。根据纳入和排除标准对患者进行筛选，分为水手术组和传统手术组。通过病历、随访记录、电子问卷和照片进行评估。评估包括术后6个月疤痕状况、综合疗效评分、术后气味/毛发/出汗评分、术后皮肤生活质量评分和并发症发生率。结果：共73例患者完成本研究，其中水手术组34例，传统手术组39例。术后6个月，水手术组温哥华疤痕量表（VSS）得分为0.5分（范围为0.0 ~ 2.0），显著低于传统手术组的1.5分（范围为0.5 ~ 3.0）（p = 0.018）。皮下血肿、表皮坏死、创面不一致等并发症的发生率也较低（26.5%比51.3%,p = 0.031）。此外，水手术组的手术切口长度明显小于传统手术组(1.200 cm (1.000, 1.275) vs. 2.500 cm（2.500, 3.000）。p结论：与传统单切口手术技术相比，水手术组患者术后6个月瘢痕评分较低，手术切口较小，手术并发症发生率较低。因此，水手术适合于腋窝积臭的微创手术治疗，提供了一种安全、有效、美观的治疗方法。

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A Retrospective Cohort Study Comparing the Clinical Outcomes of the Hydrosurgery System and Traditional Single-Incision Surgery for Axillary Osmidrosis

Purpose

To compare the postoperative scarring, complication rates, and efficacy between the hydrosurgery system and traditional single-incision surgical techniques for treating axillary osmidrosis.

Methods

A retrospective collection was conducted of all patients who underwent radical surgery for axillary osmidrosis at the Day Surgery Unit of the Department of Plastic Surgery at the First Affiliated Hospital of the Army Medical University from January 2023 to January 2024. Patients were screened based on inclusion and exclusion criteria and divided into the hydrosurgery group and the traditional surgery group. The evaluation was done through medical records, follow-up records, electronic questionnaires, and photographs. Assessments included 6-month postoperative scarring conditions, comprehensive effectiveness scores, postoperative odor/hair/sweating scores, postoperative dermatological life quality scores, and complication rates.

Results

A total of 73 patients completed this study: 34 in the hydrosurgery group and 39 in the traditional surgery group. 6 months postoperatively, the hydrosurgery group had significantly lower scores of the Vancouver Scar Scale (VSS), 0.5 (range 0.0–2.0) compared with 1.5 (range 0.5–3.0) in the traditional surgery group (p = 0.018). The incidence of complications such as subcutaneous hematoma, epidermal necrosis, and wound dissidence was also lower (26.5% vs. 51.3%, p = 0.031). Additionally, the surgical incision length in the hydrosurgery group was significantly smaller than in the traditional surgery group (1.200 cm (1.000, 1.275) vs. 2.500 cm (2.500, 3.000), p < 0.001). There were no significant differences between the two groups regarding comprehensive effectiveness scores, postoperative odor/hair/sweating scores, postoperative dermatological life quality index, and surgical duration.

Conclusion

Compared with traditional single-incision surgical techniques, patients in the hydrosurgery group exhibited lower scar scores 6 months postsurgery, required smaller surgical incisions, and had lower rates of surgical complications. Thus, the hydrosurgery is suitable for the minimally invasive surgical treatment of axillary osmidrosis, offering a safe, effective, and aesthetically superior treatment method.

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来源期刊

Journal of Cosmetic Dermatology DERMATOLOGY-

CiteScore

4.30

自引率

13.00%

发文量

818

审稿时长

>12 weeks

期刊介绍： The Journal of Cosmetic Dermatology publishes high quality, peer-reviewed articles on all aspects of cosmetic dermatology with the aim to foster the highest standards of patient care in cosmetic dermatology. Published quarterly, the Journal of Cosmetic Dermatology facilitates continuing professional development and provides a forum for the exchange of scientific research and innovative techniques. The scope of coverage includes, but will not be limited to: healthy skin; skin maintenance; ageing skin; photodamage and photoprotection; rejuvenation; biochemistry, endocrinology and neuroimmunology of healthy skin; imaging; skin measurement; quality of life; skin types; sensitive skin; rosacea and acne; sebum; sweat; fat; phlebology; hair conservation, restoration and removal; nails and nail surgery; pigment; psychological and medicolegal issues; retinoids; cosmetic chemistry; dermopharmacy; cosmeceuticals; toiletries; striae; cellulite; cosmetic dermatological surgery; blepharoplasty; liposuction; surgical complications; botulinum; fillers, peels and dermabrasion; local and tumescent anaesthesia; electrosurgery; lasers, including laser physics, laser research and safety, vascular lasers, pigment lasers, hair removal lasers, tattoo removal lasers, resurfacing lasers, dermal remodelling lasers and laser complications.