Boni Roland
Whitehouse Center for Liposuction, Zurich, Switzerland.
Dermatology. 2006;213(3):215-7. doi: 10.1159/000095038.
Axillary hyperhidrosis is a common and most distressing problem, which can be addressed by a variety of treatment modalities.
To assess the value of tumescent suction curettage in the treatment of axillary hyperhidrosis.
63 patients (39 female, 25 male; mean age 30.3 +/- 7.6 years) with axillary hyperhidrosis were enrolled in the study. All patients were treated in an outpatient setting with tumescent suction curettage of the axillary cavity, using two entry sites. The results were evaluated with the iodine-starch test after 4 weeks and after 6 months. Two years after the procedure, patient satisfaction was evaluated as 'satisfied', 'partially satisfied' or 'dissatisfied'.
None of the patients had early postoperative complications of infection or seroma. All patients had a marked reduction of hyperhidrosis after 4 weeks, confirmed by the iodine-starch test. After 6 months, 15 patients had high sweat rates and asked for repeat surgery. Two years after the procedure, 49 patients were satisfied, 11 patients were partially satisfied and 3 patients were dissatisfied.
Tumescent suction curettage is a safe and effective treatment of axillary hyperhidrosis resulting in a high level of patient satisfaction. Some patients will need repeat surgery. Suction curettage, however, should not be used as the first line of treatment in axillary hyperhidrosis.
腋窝多汗症是一种常见且极为困扰人的问题，可通过多种治疗方式解决。
评估肿胀吸脂刮除术治疗腋窝多汗症的价值。
63例腋窝多汗症患者（39例女性，25例男性；平均年龄30.3±7.6岁）纳入本研究。所有患者均在门诊接受腋窝腔肿胀吸脂刮除术，采用两个进针点。术后4周和6个月时通过碘淀粉试验评估结果。手术两年后，将患者满意度评估为“满意”“部分满意”或“不满意”。
所有患者术后均未出现感染或血清肿等早期并发症。碘淀粉试验证实，所有患者在4周后多汗症均有明显减轻。6个月后，15例患者出汗率仍较高并要求再次手术。手术两年后，49例患者满意，11例患者部分满意，3例患者不满意。
肿胀吸脂刮除术是治疗腋窝多汗症的一种安全有效的方法，患者满意度较高。部分患者需要再次手术。然而，吸脂刮除术不应作为腋窝多汗症的一线治疗方法。
