腋窝皮肤皱襞切口超薄皮瓣法治疗腋臭

Effect of ultrathin flap through axillary skin crease incision for treatment of axillary osmidrosis

目的评估腋窝皮肤横形皱襞切口超薄皮瓣法治疗腋臭的临床效果。方法 2012年4月至2014年8月对87例腋臭患者,采用腋窝皮肤横形皱襞1~2个长2.5~3 cm切口,浅筋膜层分离并掀起皮瓣,直视下修剪去除大汗腺组织并保留真皮下血管网,形成超薄皮瓣的方法治疗腋臭。结果除2例患者约2 mm宽皮缘轻微裂开、1例出现轻度瘢痕增生外,其余患者伤口愈合良好,均无血肿、积液、感染、伤口裂开、皮瓣坏死等发生。随诊6~12月,全部患者双侧腋窝无异味残留,腋毛明显减少,外观良好,效果满意。结论腋窝皮肤横形皱襞切口直视下超薄皮瓣法治疗腋臭,手术操作简单,成功率高、并发症少,为安全而有效的腋臭治疗方法。

Objective To evaluate the clinical therapeutic effect of ultrathin flap through axillary skin crease incision for the treatment of axillary osmidrosis. Methods From April 2012 to August 2014, 87 patients underwent the removal of apocrine sweat glands in the axillary superficial fascia through one to two incisions with 2.5 to 3 cm length on the axillary crease, and the surgical procedure remained the subdermal vascular network for ultrathin flap. Results All patients healed well without hematoma, hydrops, infections, incision dehiscence or flap necrosis, except two patients with slight surgical margins cracks and one case with slightly scar hypertrophy. Followed up for 6 to12 months, almost all the body odours disappeared with axillary hair decrease. Conclusion The procedure of ultrathin flap through axillary skin crease incision is a safe and effective method to treat axillary osmidrosis with high success rate and few complications.