桥式双切口顶泌汗腺修剪术治疗腋臭176例临床分析

Clinical analysis of 176 bromhidrosis cases accepted apocrine sweat glands two-incision bridge trim

目的评价桥式双切口顶泌汗腺修剪术治疗腋臭的疗效及不良反应。方法采用桥式双切口顶泌汗腺修剪术治疗176例腋臭患者,用视觉模拟评分法(VAS)于术后1年评估其疗效及不良反应。结果 176例患者中,治愈164例(93%),有效12例(7%),总有效率100%。其中有4例患者切口发生表浅溃疡,延期愈合,留下轻微瘢痕。全组腋毛均减少,出汗减少,皮肤质地柔软,无感染、无血肿。结论桥式双切口顶泌汗腺修剪术操作方便,切口美观,不良反应少。

ObjectiveTo evaluate the efficacy and adverse reactions of apocrine sweat glands two-incision bridge trim in the treatment of bromhidrosis.MethodsOne hundred and seventy-six patients with axillary bromhidrosis were treated with apocrine sweat glands two-incision bridge trim. The efifcacy and adverse reactions were assessed using the method of visual analog score a year after the treatment.ResultsFor the total 176 cases, cured 164 cases （93%）, effective 12 cases（7%）, the total effective rate was 100%. Superifcial ulcers of incision and delayed healing occurred in 4 cases, which leaded to the formation of slight scar. All the patients showed armpit hair and sweat reduced, no infection and hematoma occurred, and the local skin was soft.ConclusionThe operation of apocrine sweat glands two-incision bridge trim is convenient, with reliable curative effect, beautiful incision and less adverse reactions , which is worthy of clinical generalization.