微创法腋臭清除术的临床应用

The clinic application of minimal invasive therapy of osmidrosis

目的:为微创法腋臭清除术的临床应用提供参考。方法:美兰标记腋毛外缘,局麻后腋窝中央取2～3cm顺皮纹切口。皮肤及皮下组织间锐性分离,括匙搔括皮下大汗腺,无菌盐水反复冲洗创面,常规加压包扎。结果:88例异味消失;2例残留气味,经二次手术后异味明显消失;血肿并发症2例,经穿刺治疗后未影响治疗;随访60例,疗效满意。结论:微创腋臭清除术能有效治疗腋臭,组织创伤小,伤口恢复快,术后不易复发。

Objective： To provide an reference for clinical application of minimally invasive surgery of axillary bromhidrosis clearence. Methods Adopting methylene blue labeling on the edge of armpit hair, from 2cm to 3cm following dermatoglyphic incision was made under local anesthesia. We took sharping separation between skin and subcutaneous tissue , scratching apocrine glands by sharp spoon and washing repeatedly wound surface with aseptic saline, finally using pressure bandaging according to routine. Results peculiar smell of 88 patients disappeared. 2 patients had residual oder but disappeared after operation again. 2 patients with hematoma complications had not affect the treatment by puncture treatment. 60 cases had been follow-up and got anticipated effects. Conclusions Minimally invasive surgery of axillary bromhidrosis clearence can effectively treat osmidrosis. The method has the many advantages of ow degree tissue injury, quick recovery and difficult to recur.