改良小切口大汗腺清除术临床体会

Improvement of Small Incision for Removal of Large Sweat Gland Clinical

目的:采用微创小切口的手术方式清除腋下大汗腺,以达到治疗腋臭的目的。方法:在局部肿胀麻醉下,通过1cm小切口在腋下大汗腺发布区域作皮下潜行分离,形成腋下皮瓣;用11#刀片刮除皮瓣的浅层脂肪和大汗腺,保留真皮血管网、毛囊和皮脂腺。结果:经过79例临床观察,术后随访3-24个月,所有患者愈后腋下皮瓣未出现皮肤皱缩、色素沉着,切口愈合良好、未出现皮缘坏死,76例无异味残留、3例有轻微异味残留。结论:改良小切口大汗腺清除术创伤轻、术后疤痕小、能较彻底的清除腋下大汗腺,治疗腋臭治愈率高。该术式有重要的临床实用价值,值得广泛推广。

Objective： Using small incision minimally invasive surgical procedure to remove underarm sweat glands, in order to achieve the purpose of treatment of bromhidrosis. Methods： In local swellinganesthesia, 1 - 2 cm by small incision in the ＆xillarysubcutaneous stealth separation big sweat glandsrelease area, form alar skin flap; Use # 11 blade shavetheir skin flap of shallow and large sweat gland, fatreserves dermal vascular network, hair follicle andsebaceousglands. Results： After 79 eases of clinical obs - eration, followed up for 3 to 24 months postoperatively, alpatients after the alar flap does not appear the skinshrivel, pigmentation, incision healed well and does notappear skin necrosis, 76 eases without peculiar smellresidual, 3 eases had mild odor residues. Conclusions： Improved light small incision for removal of large sweat gland trauma, postoperative sear is small, and it can be completely clear axil- lary apocrine gland, curing high cure rate. The operation has important clinieal practical value, is worth widely used.