Tung T C, Wei F C
Department of Plastic and Reconstructure Surgery, Chang Chung Memorial Hospital, Taiwan.
Br J Plast Surg. 1997 Jan;50(1):61-6. doi: 10.1016/s0007-1226(97)91285-6.
Axillary osmidrosis is a distressing problem. Medical treatment is often inadequate. Local excision of the apocrine and eccrine glands is the most effective method available but is often accompanied by significant morbidity. We report a modified surgical technique for the treatment of this condition. From January 1994 to December 1995, 46 patients (38 females, 8 males) with axillary osmidrosis have been treated by excision of the subcutaneous tissue via two transverse incisions, without removing skin. Sutures are used to anchor the skin to the axillary fascia. There is no need for a complicated tie-over dressing and postoperative arm restriction. All patients were followed up for a minimum of 6 months (average 11.6 months). The patients were asked to complete a questionnaire. The results of malodour elimination were classified as good, fair and poor. Forty-one (89.1%) of the patients had good results, four (8.7%) had fair results, and one (2.2%) had a poor result. The average convalescent time was 9.2 days. Twenty-six patients (57%) were very satisfied and recommended this procedure. Only one patient (2%) regretted having the operation. This operation has the advantages of a high success rate, low complication rate, and rapid recovery for the treatment of axillary osmidrosis.
腋臭是一个令人苦恼的问题。药物治疗往往效果不佳。大汗腺和小汗腺的局部切除是目前最有效的方法，但常常伴有明显的并发症。我们报告一种改良的手术技术用于治疗这种病症。1994年1月至1995年12月，46例腋臭患者（38例女性，8例男性）通过两个横向切口切除皮下组织进行治疗，未切除皮肤。使用缝线将皮肤固定于腋筋膜。无需复杂的包扎敷料和术后限制手臂活动。所有患者至少随访6个月（平均11.6个月）。患者被要求填写一份问卷。异味消除结果分为良好、尚可和差。41例（89.1%）患者效果良好，4例（8.7%）尚可，1例（2.2%）差。平均康复时间为9.2天。26例患者（57%）非常满意并推荐该手术。只有1例患者（2%）后悔接受手术。该手术治疗腋臭具有成功率高、并发症发生率低和恢复快的优点。
