通过整块切除皮肤和皮下组织以及大汗腺切开术治疗腋臭。
Axillary osmidrosis treated by partial removal of the skin and subcutaneous tissue en bloc and apocrine gland subcision.
作者信息
Fan Y M, Wu Z H, Li S F, Chen Q X
机构信息
Department of Dermatology, Affiliated Hospital of Guangdong Medical College, Zhanjiang, Guangdong, China.
出版信息
Int J Dermatol. 2001 Nov;40(11):714-6. doi: 10.1046/j.1365-4362.2001.01291.x.
BACKGROUND
Axillary osmidrosis can be treated with many methods, but local surgery is the treatment of choice.
METHODS
Forty-three patients (32 females and 11 males, average age 20.3 years) were treated by partial removal of the skin and subcutaneous tissue en bloc and follicular clipping of the adjacent area. All operations were performed with local anesthesia in an outpatient setting.
RESULTS
Follow-up ranged from 2 to 47 months (mean: 13.4 months). Forty-one patients (95%) had good results, two (5%) were fair, and none were poor. No recurrences were seen. The wound complication rate was 3.5% for axillae and 7% for patients. There were no scar contractures or limitations of arm abduction.
CONCLUSION
This combined surgical method can eliminate malodor and has a low wound complication and recurrence rate. Though the transient and conspicuous scar is the chief drawback of this method, it is a simple, safe, effective and inexpensive method for treating axillary osmidrosis.
背景
腋臭可用多种方法治疗，但局部手术是首选治疗方法。
方法
43例患者（32例女性，11例男性，平均年龄20.3岁）接受了整块皮肤及皮下组织部分切除并对相邻区域进行毛囊修剪治疗。所有手术均在门诊局部麻醉下进行。
结果
随访时间为2至47个月（平均13.4个月）。41例患者（95%）效果良好，2例（5%）效果尚可，无效果差的患者。未见复发。腋窝伤口并发症发生率为3.5%，患者伤口并发症发生率为7%。未出现瘢痕挛缩或手臂外展受限情况。
结论
这种联合手术方法可消除异味，伤口并发症和复发率低。尽管该方法的主要缺点是会留下短暂且明显的瘢痕，但它是一种治疗腋臭的简单、安全、有效且廉价的方法。
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