小切口摘除大汗腺治疗腋臭

Excision of apocrine glands for the treatment of osmidrosis

目的:皮肤切除、真皮下组织修剪等治疗腋臭的手术,常造成腋部瘢痕、皮肤坏死等情况,本文应用小切口大汗腺单纯摘除方法,希望探讨一种损伤小且效果好的腋臭治疗手术。方法:对21位18～24岁女性腋臭患者,采用摘除大汗腺的手术方法治疗。行平行腋窝皱襞小切口入路,分离全腋区皮下浅层,直视下逐个挑剪去除大汗腺腺体,保留真皮下血管网。术后七天拆线。结果:术后经6～18个月随访,所有患者腋区皮肤无坏死,切口隐蔽, 瘢痕不明显,腋臭味明显减轻。病理切片示所摘取组织为典型的大汗腺组织。结论:大汗腺可以被准确识别,单纯摘除的手术方法是一种损伤小的腋臭治疗方法。

s: Objective Many methods for treating osmidrosis always have their shortcoming or complications ,such as skin necrosis or scar contracture etc.This article aims to find a safe and effective method by excision of apocrine glands. Methods 21patients with osmidrosis had been treated by excision of apocrine glands.The incisions were small and parallel to the wrinkles of axillary skin.The apocrine glands embed in the surface of the subcutaneous tissue.And we cut them off one by one during the operation,without damages to the subdermal vessel-plexi. Results Total 21 cases were followed up for 6~18 months.There were no cases with complications such as skin necrosis and scar contracture.The pathology histologic study proved that we cut off were apocrine glands. Conclussion Apocrine glands can be distinguished and removed during operation,this method of treating osmidrosis can reach a satisfied results.