肿胀麻醉吸刮联合修剪根治腋臭的疗效分析

Analysis to curative effect of suction curettage and trimming under tumescent anesthesia on the radical treatment of axillary osmidrosis

目的探讨肿胀麻醉负压吸刮联合修剪去除大汗腺治疗腋臭的效果。方法沿腋窝皱襞切口，肿胀麻醉下行负压吸刮、皮下修剪以去除腋部包含大汗腺在内的皮下组织和部分真皮，直至腋部手术区域皮肤呈厚中厚皮的厚度。术后给予引流、打包包扎、腋套固定，至10d拆线。结果本组91例患者，腋部气味消除，并发症少，切口瘢痕不明显，效果满意。结论肿胀麻醉负压吸刮联合修剪去除大汗腺，是一种并发症少、术后外形美观、效果确切的根治腋臭的手术方法。

Objective To investigate the efficacy of removal of the apocrine glands in the treatment of axillary osmidrosis with tumescent anesthesia, suction-curettage and trimming under tumescent anesthesia. Methods Via an axillary crease incision, the apocrine glands within subcutaneous tissue and partial dermis were excised by tumescent anesthesia, suction-curettage and trimming with scissors under tumescent anesthesia until the hadro-intermediate split thickness skin graft was left in the axillae. The wound was drained and cov- ered with gause and elastic bandage. Sutures were removed at 10 days postoperatively. Results Ninety-one patients were treated in this group. The axillary malodor was eliminated. No serious complications were noted. The scar of the incision was not significant. Conclusion Removal of the apocrine glands by using uction-curettage and trimming under tumescent anesthesia is an effective and radical cosmetic surgery in the treatment of axillary osmidrosis with few complications.