微创旋切术治疗腋臭的疗效及复发率观察OA

Objective To observe the effect and recurrence rate of minimally invasive rotary resection in the treatment of axillary osmidrosis.Methods A total of 108 patients who underwent surgery for axillary osmidrosis in the hospital from June 2023 to June 2024 were selected.Patients were categorized by surgical method into the observation group(n=56,treated with minimally invasive rotary resection)and the control group(n=52,treated with subcutaneous curettage through a small incision).Therapeutic effects,perioperative indicators,incidence of complications,Vancouver Scar Scale(VSS),Patient and Observer Scar Assessment Scale(POSAS),recurrence rate,and patient satisfaction were compared between the two groups.Results A significantly higher total effective rate was observed in the observation group(100.0%)compared to the control group(90.38%,P＜0.05).Compared with the control group,the observation group showed reductions in operation time,healing time,scar length,and intraoperative blood loss(P＜0.05).The complication rate was lower observation group compared to the control group(1.79%vs.11.54%,P＜0.05).At 6 months postoperatively,the scores of VSS,PSAS,and OSAS in the observation group showed a marked reduction relative to those in the control group(P＜0.05).At 12 months postoperatively,no recurrence was observed in the observation group,lower than control group(0.00%vs.10.64%,P＜0.05).Furthermore,patient satisfaction was also significantly higher in the observation group(96.43%vs.80.77%,P＜0.05).Conclusion Minimally invasive rotary resection is highly effective in treating axillary osmidrosis.It can reduce complications and recurrence rates,improve patient satisfaction,and leaves light scars.Therefore,it is worthy of clinical promotion and application.