Burn and Plastic Surgery Department, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang City, Hunan Province, China.
Dermatol Ther. 2022 Aug;35(8):e15615. doi: 10.1111/dth.15615. Epub 2022 Jun 15.
The glandular fluid secreted by apocrine sweat glands is decomposed by parasitic bacteria on the skin surface and releases a bad smell called axillary osmidrosis.
To evaluate the effect of power-assisted rotary cutter with negative pressure suction through small incision for axillary osmidrosis.
From January 2017 to January 2022, 647 patients with axillary osmidrosis underwent power-assisted rotary cutter with negative pressure suction through small incision surgery to treat for axillary osmidrosis. The operation time (min), intraoperative bleeding (ml) and recovery time (days) were counted. Three months after operation, the amount of underarm sweat, the disappearance of underarm hair, the incidence of operation, the effective rate of operation, and the satisfaction of operation results were evaluated by questionnaire.
There were no postoperative complications except five cases of mild axillary pigmentation after 3 months. All patients evaluated good odor elimination. No patient was rated as average or poor. No recurrence.
Power-assisted rotary cutter with negative pressure suction through small incision is an effective and ideal surgical method to reduce the complications and recurrence of axillary osmidrosis.
顶泌汗腺分泌的腺体液被皮肤表面的寄生细菌分解，释放出一种难闻的气味，称为腋臭。
评估微创小切口下负压抽吸辅助旋转切削术治疗腋臭的效果。
2017 年 1 月至 2022 年 1 月，647 例腋臭患者采用微创小切口下负压抽吸辅助旋转切削术治疗腋臭。记录手术时间（min）、术中出血量（ml）和恢复时间（d）。术后 3 个月，采用问卷调查评估患者腋下出汗量、腋毛消失情况、手术效果、手术有效率和手术结果满意度。
除 5 例患者术后 3 个月出现轻度腋窝色素沉着外，无其他术后并发症。所有患者均评价良好的除臭效果，无一般或差的评价。无复发。
微创小切口下负压抽吸辅助旋转切削术是一种有效且理想的减少腋臭并发症和复发的手术方法。
