Comparison of Clinical Effects and Complications of Two Kinds Apocrine Pruning Surgical Incision in Treatment of Bromhidrosis / 医学研究杂志

ABSTRACT

Objective To observe the clinical curative effect and complications of different surgical incision in the treatment of bromhidrosis and to explore the best surgical method.Methods We retrospectively analyzed the clinical data of 352 patients with bromhidrosis from January 2011 to May 2017 and observed the long-term effects of different surgical methods.One surgical methods was apocrine pruning through the micro linear incision,another was apocrine pruning through the micro spindle incision.Then observation data was statistically analyzed.Results 190 cases were treated with micro linear incision method.The median incision healing time was 11.6d,healing time was 11.2-±0.6d,the incision of 170 cases were primary healed,primary healing rate was 89.5％.188 cases were cured for the long-term curative effect(98.9％),2 cases were markedly improved (1.1％).162 cases were treated with micro spindle incision method.The median incision healing time was 18.5d,healing time was 18.3 ± 0.4d,the incision of 125 cases were primary healed,primary healing rate was 77.2％,158 cases were cured for the long-term curative effect(97.5％),4 cases were markedly improved (2.5％).Apocrine sweat glands pruning through the micro linear incision and the micro spindle incision both can achieve good effect.The curative effect has no statistical difference.Whereas after the operation that apocrine sweat glands pruning through the micro linear incision,the wound healed faster,the rate of primary healing is higher,the difference was statistically significant.Conclusion It is the preferred surgical method of apocrine sweat glands pruning through the micro linear incision for the treatment of bromhidrosis.