综合微创手术治疗腋臭1066例临床疗效观察

1066 Cases of Axillary Osmidrosis Treated by Comprehensive and Minimally Invasive Surgical Procedure

目的:探讨联合负压抽吸、小切口直视皮下修剪及电刮勺热灼的综合性微创方法治疗腋臭的临床疗效。方法:2006年1月-2016年12月笔者科室采用微创综合疗法治疗腋臭1 066例,沿腋窝尺侧腋皱襞附近作一长约0.5~1.0cm小切口,在腋窝中央作一长约1cm辅助切口。沿手术切口负压抽吸浅层脂肪,在直视下修剪皮下残余脂肪组织及真皮网状层的毛囊球,电刮勺依次在皮下烧灼静止期毛囊,术后打包加压包扎7d。结果:本组共1 066例患者,随访6~12个月,显效913例,有效142例,无效11例,有效率为98.97%。术后血肿23例,5例发生皮片坏死,植皮后创面愈合,其余均通过换药治愈。结论:联合负压抽吸、小切口直视皮下修剪及电刮勺热灼的综合方法能有效根治腋臭,具有安全、高效、术后并发症少等优点。

and curettage with direct pruning technique.Sweat glands along with remaining fat tissue were removed by scissors,and theelectric scraping spoon sequentially burns the stationary folliculus.Compressive dressings were applied to the axilla area afterthe operation.Results Followed up for6-12months,among1066patients,913cases were markedly effective,142cases wereeffective and11cases were invalid.The effective rate was98.97%.Hematoma occurred in23cases,skin necrosis occurred in5cases,and the wound healed after skin grafting.Conclusion Our comprehensive surgical procedure with tumescent suction,blind scraping in the subcutaneous adipose tissue layer and direct excision of apocrine sweat glands,and the electric scrapingspoon sequentially burns the stationary folliculus can effectively cure axillary osmidrosis,is a safe and effective surgicaltreatment with less complication.