微孔引流在皮下修剪术治疗腋臭中的作用

Performance of drainage through micropores in the treatment of axillary osmidrosis with subcutaneous trimming

目的 探讨微孔引流在皮下修剪术治疗腋臭中的作用.方法 48例腋臭患者采用皮下修剪术治疗腋臭,去除大汗腺及毛囊后在皮瓣上用尖刀片沿皮纹戳数个长约3 mm的微孔进行引流,闭合切口后用弹力绷带包扎压迫手术区敷料.术后24 h换药观察伤口,10d拆绷带并观察皮瓣成活情况,术后3个月随访.结果 48例患者术后腋部汗臭均消失,出汗减少,社交正常.皮肤瘢痕不明显.结论 微孔引流可作为皮下修剪术治疗腋臭的有效引流方法.

Objective To evaluate the performance of drainage through micropores in the treatment of axillary osmidrosis with subcutaneous trimming.Methods Forty-eight patients with axillary osmidrosis were enrolled in this study,and treated by subcutaneous trimming.After removal of apocrine sweat glands and hair follicles,a scalpel was used to cut several micropores （measuring 3 mm in length） along dermal ridges in skin flaps.Then,drainage was carried out through the micropores.Subsequently,the incisions were sewed up with 3-0 sutures followed by compression bandaging with elastic bandages.Dressings were changed and incisions were examined at 24 hours after operation,and bandages were taken off and skin flap viability was evaluated at 10 days.All the patients were followed for 3 months.Results After treatment,sweating was decreased and axillary odor disappeared in all the patients with a return to normal social activities.No obvious scar formed.Conclusion Drainage through micropores performs well in the treatment of axillary osmidrosis with subcutaneous trimming.