摘要
目的 总结微创直视下大汗腺摘除术治疗腋臭的疗效.方法 微创直视下行大汗腺摘除手术,术后进行随访并随机抽取3例做病理检查.结果 本组87例患者,切口均Ⅰ期愈合.仅2例残留气味,经同法二次手术后效果满意.所有患者获随访3～36个月,切口瘢痕不明显,皮瓣无坏死,上肢功能未受影响.病理结果 ：术前组真皮深层至皮下脂肪浅层有大量大汗腺组织,术后组真皮全层内未见明显大汗腺组织.结论 对腋臭患者行微创直视下大汗腺摘除术,可以达到治疗彻底、并发症少、外形美观、无功能损伤的效果.
Objective To summarize the curative effect of the minimally invasive surgical removal of apocrine sweat gland under direct vision for osmidrosis. Methods Minimally invasive surgical removal of apocrine sweat gland was performed under direct vision, and pathdogical examination was carried out, randomly during the postoperative follow-up. Results Eighty-seven patients were involved in this study, and all wound healed primarily. Only 2 cases had remaining odour and cured well after secondary repair with satisfactory re- sults. After 3 - 36 months follow-up, all patients had hiding scars without flap necrosis or upper limb dysfunc- tion. Pathological results ： a large number of apocrine sweat gland structure was observed from deep dermis layer to superficialodipose layer preoperatively, but few in dermis layer postoperatively. Conclusion The minimally invasive surgical removal of apocrine sweat gland under direct vision is an optimal method to treat osmidrosis with complete treating, less complication, good appearance and less dysfunction.
出处
《中国美容整形外科杂志》
CAS
2010年第4期228-230,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
腋臭
微创
直视
大汗腺摘除
Osmidrosis
Minimally invasive
Direct vision
Surgical removal of apocrirue sweat gland
