在微创吸刮术中应用刨针或钝针治疗腋臭的临床疗效分析

Clinical Efficacy Analysis of Aspiration Scraper Cannula or Blunt Aspiration Cannula Techniques in Minimally Invasive Aspiration Curettage for Axillary Osmidrosis

摘要: 目的：比较在微创吸刮术中应用刨针与应用钝针治疗腋臭的临床疗效。方法：收集2021年8月至2023年8月于秦皇岛市第一医院医学美容科收治的91例腋臭患者为研究对象，根据术中使用吸脂针类型的不同，分为刨针组(42例)和钝针组(49例)。比较两组的术后效果、手术耗时及术后并发症的发生情况。结果：两组术后治愈率比较，差异无统计学意义(P > 0.05)；刨针组术后显效率明显高于钝针组，差异具有统计学意义(P < 0.05)；两组术后有效率比较，差异无统计学意义(P > 0.05)；刨针组手术平均耗时明显短于钝针组(P < 0.05)；两组术后并发症发生率比较，差异无统计学意义(P > 0.05)。结论：在微创吸刮术中无论是应用刨针还是应用钝针，对于Park分级为2或3级腋臭的治疗都有显著的效果。相比于应用钝针，应用刨针的微创吸刮术治疗效率更高、手术耗时更短且术后并发症发生率没有增加，是临床上治疗腋臭更好的选择。

Abstract: Objective: To compare the clinical efficacy of aspiration scraper cannula and blunt aspiration cannula in minimally invasive aspiration curettage for axillary osmidrosis. Methods: Ninety-one patients with axillary osmidrosis admitted to the Department of Medical Cosmetology of the First Hospital of Qinhuangdao from August 2021 to August 2023 were divided into two groups according to the types of liposuction cannulas used during operation: aspiration scraper cannula group (n = 42) and blunt aspiration cannula group (n = 49). The postoperative effect, operation time and postoperative complications were compared between the two groups. Results: There was no significant difference in the postoperative cure rate between the two groups (P > 0.05); the postoperative significant rate in the aspiration scraper cannula group was significantly higher than that in the blunt aspiration cannula group, and the difference had statistical significance (P < 0.05); there was no significant difference in the postoperative effective rate between the two groups (P > 0.05); the average operation time in the aspiration scraper cannula group was significantly shorter than that in the blunt aspiration cannula group (P < 0.05); there was no significant difference in the incidence rate of postoperative complications between the two groups (P > 0.05). Conclusion: Both aspiration scraper cannula and blunt aspiration cannula are effective in minimally invasive aspiration curettage for the treatment of Park grade 2 or 3 axillary osmidrosis. Compared with blunt aspiration cannula, minimally invasive aspiration curettage with aspiration scraper cannula has higher significant efficiency, shorter operation time and no increased incidence rate of postoperative complications, which is a better choice for the treatment of axillary osmidrosis in clinical practice.