Wu W H, Ma S, Lin J T, Tang Y W, Fang R H, Yeh F L
Department of Surgery, Veterans General Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1994 Aug;94(2):288-94. doi: 10.1097/00006534-199408000-00011.
From July of 1986 to July of 1992, 343 patients have received surgery for axillary osmidrosis by partially removing skin and cellular tissue en bloc and removing the subcutaneous cellular tissue of the adjacent area. A total of 102 patients were followed for 4 months to 6 years, with an average of 32 months. The total satisfaction rate was 91 percent (93 of 102). The wound complication rate was 6.715 percent (46 of 685). There were no scar contractures or limitations of arm abduction. In this paper we emphasize three merits of our procedure. One is that partially removing the skin promises definite excision of more than half the eccrine glands which were located in the dermis of the operative field. The second merit is good exploration for undermining and defatting of the under-surface of the adjacent area. The third merit is a low wound complication rate because the width of the skin excision is less than 3 cm. Therefore, partial removal of skin and cellular tissue en bloc and the subcutaneous cellular tissue of the adjacent area is the choice for surgical treatment for axillary osmidrosis.
1986年7月至1992年7月，343例患者接受了手术治疗腋臭，手术方式为整块切除部分皮肤及皮下组织，并切除相邻区域的皮下组织。共有102例患者接受了4个月至6年的随访，平均随访时间为32个月。总满意率为91%（102例中的93例）。伤口并发症发生率为6.715%（685例中的46例）。未出现瘢痕挛缩或手臂外展受限的情况。在本文中，我们强调了该手术方法的三个优点。一是部分切除皮肤能确保切除手术区域真皮层中超过一半的汗腺。第二个优点是对相邻区域的皮下组织进行良好的潜行分离和去脂操作。第三个优点是伤口并发症发生率低，因为皮肤切除宽度小于3cm。因此，整块切除部分皮肤及皮下组织以及相邻区域的皮下组织是腋臭手术治疗的选择。
