小切口腋下汗腺清除术的临床效果及相关因素分析

Clinical effects and related issues of subdermal excision of apocrine glands through small incisions for axillary osmidrosis

目的探讨小切口腋下汗腺清除术的临床效果及影响手术效果的相关因素。方法腋下顺皮纹皱襞的小切口腋臭手术病人42例,均为中-重度腋下异味,术后1个月、3个月、6个月随访,观察治疗效果。结果 42例均获随访,平均随访时间5个月,2例(3侧)出现腋下切口愈合不良,创面最大面积约1 cm×1.5 cm,经换药及清创缝合后愈合,其余均一期愈合;随访发现3例男性1例女性出现单侧腋下异味,属轻度;无血肿、皮瓣坏死及神经损伤发生。结论顺皮纹皱襞小切口腋下汗腺清除术切口隐蔽、创伤相对小、治疗较为彻底,术后瘢痕小且隐蔽,效果满意。

Objective This study aimed to evaluate clinical effects and related issues of subdermal excision of apocrine glands through small incisions for axillary osmidrosis.Methods From March 2016 to February 2018,42 cases of moderate-to-severe axillary osmidrosis were treated with subdermal excision of apocrine glands through small incisions along underarm creases.Follow-up was performed in 1,3,6 months.Results All 42 cases were followed up for an average of 5 months.In 2 cases(3 sides),the incision was not well healed.The maximum area of the wound was about 1×1.5 cm, which was healed after dressing and debridement.The rest were all healed naturally.At follow-up,3 males and 1 female relapsed with unilateral subgingival odor,which was mild;no hematoma,flap necrosis and nerve injury occurred.Conclusion After subdermal excision of apocrine glands for axillary osmidrosis,the incision along underarm creases was concealed,the wound was relatively small,and the treatment was thorough.The postoperative scar was small and concealed,and the effect was satisfactory.