组织工程与重建外科杂志2017，Vol.13Issue(4)：205-207,3.DOI:10.3969/j.issn.1673-0364.2017.04.008
简单实用的腋臭根治法
A Simple and Practical Method for the Treatment of Axillary Osmidrosis
张海峰 1陶佩玉 2徐华3
作者信息
- 1. 200032上海市 上海交通大学医学院附属仁济医院
- 2. 201900上海市 上海中医药大学附属曙光医院宝山分院整形外科
- 3. 200011上海市 上海交通大学医学院附属第九人民医院整复外科
- 折叠
摘要
Abstract
Objective To explore an effective method for treating axillary osmidrosis and decreasing complications after operation.Methods A 2-3 cm long skin incision was designed in the middle and lower of the axillary crease and the undermine scope of tissue was over 1 cm out of the axillary hair growth area.The sweat glands and subcutaneous tissue attached to the dermis were removed manually with scissors and curettage and the skin was repaired into full-thick skin flap.After operation,the skin was anchored to the subcutaneous tissues with more than 10 sutures using interrupted suturing technique.8-shaped compression dressing was wrapped to each axilla.Results All 208 patients were followed up for 6 to 12 months.Malodor elimination was totally treated in 200 of 208 (98％),fair in 8 (2％) and the efficient rate was 100％.Recurrence of axillary osmidrosis occurred in 3 patients and 2 cases were cured by re-operation.No subcutaneous hematoma,effusion,infection and skin necrosis happened after operation and the incision healed well.No obvious obstacle in activity was observed and all patients recovered well.Conclusion Shaving together with curettage for removing the apocrine and eccrine glands and interrupted suturing technique to anchor skin has the advantages of effective resection,high successful rate and fewer complications.关键词
腋臭/剪除法/刮除法/间断缝合/皮片固定Key words
Axillary osmidrosis/Excision/Curettage/Interrupted suture/Skin fixation分类
医药卫生引用本文复制引用
张海峰,陶佩玉,徐华..简单实用的腋臭根治法[J].组织工程与重建外科杂志,2017,13(4):205-207,3.
