Bisbal J, del Cacho C, Casalots J
Ann Plast Surg. 1987 May;18(5):429-36. doi: 10.1097/00000637-198705000-00008.
In the human axilla, the proportion of eccrine and apocrine sweat glands is 1:1. The former are in the dermis, while most of the latter are in the subcutaneous cellular tissue. After studying the difficult methods that have been described for the surgical treatment of axillary hyperhidrosis, we concluded that the treatment should be as radical as possible and deal with both types of glands. The technique described here is a combined method which removes en bloc the skin and subcutaneous cellular tissue of more than half the area of sweating and the subcutaneous cellular tissue of the rest, leaving an S-shaped scar that follows the main axis of the axilla. Problems with this method have been minimal. Follow-up studies carried out up to 3 years after the operation have indicated excellent results.
在人体腋窝中，小汗腺和大汗腺的比例为1:1。前者位于真皮层，而后者大部分位于皮下蜂窝组织。在研究了已描述的用于治疗腋窝多汗症的困难方法后，我们得出结论，治疗应尽可能彻底，并处理这两种类型的腺体。这里描述的技术是一种联合方法，整块切除超过一半出汗区域的皮肤和皮下蜂窝组织以及其余部分的皮下蜂窝组织，留下一条沿腋窝主轴的S形瘢痕。该方法的问题极少。术后长达3年的随访研究表明效果极佳。
