微创腋臭手术安全边界的病理基础和临床观察  

Pathology and clinical observation on secure borders of minimally invasive surgery in the treatment of axillary osmidrosis

作　　者：马越波[1] 金武军[1] 苗英[1] 徐佩君[1] 谢小丽[1] 

机构地区：[1]宁波市第二医院,宁波315010

出　　处：《现代实用医学》2015年第1期8-9,17,共3页Modern Practical Medicine

摘　　要：目的探讨腋臭患者实施微创小切口手术安全边界的病理基础和临床治疗效果。方法 51例腋臭患者在浸润肿胀麻醉下,在腋窝部近上臂侧顺皱襞线设计切口1~2 cm,微创法切除腋窝部皮脂腺、大汗腺、毛囊及皮肤附属器并将去除范围超出腋毛边界周缘5 mm,再在经过修剪的腋窝处上端、下端、外侧端、内侧端、深面和浅面6个部位切取小块组织送常规病理检查。术后放置引流并用自制的弹力带加压包扎10~14 d后拆线。结果 51例患者手术效果良好,腋窝处上端、下端、外侧端、内侧端、深面和浅面6个部位标本病理检查报告未发现有大汗腺。结论微创法小切口腋臭切除术的手术范围在腋毛四周旁开5 mm经病理检查是安全的,可以称之为手术的安全边界,用此手术治疗腋臭,除臭效果好、创伤小、疤痕轻微、形态美观及无功能障碍。Objective To discuss the pathological basis and clinical effect of secure borders of minimally invasive surgery in treating axillary osmidrosis. Methods Fifty one cases of axillary osmidrosis treated by a mini-incision were collected. The subcutaneous sebaceous glands, sweat glands, drain follicles and skin appendage as well as the peripheral boundary beyond armpit hair of 5 rnm were removed through 1 -- 2 cm long incision under infiltrating swelling anesthesia. Small tissues from six parts of trimmed upper and bottom armpit, lateral and medial side, deep and shallow surface were sent for routine pathologic examination. Postoperation compress bandage and drainage were placed for 10 ~ 14 days and then the stitches were taken out. Results Surgery of all cases was successful. Apocrine sweet gland was not found in the pathological examination of upper and bottom armpit, lateral and medial side, deep and shallow surface. Conclusions It is safe to apply mini-incision at the range of 5mm around armpit hair in treating axillary osmidrosis, which can be called as security boundaries, with good effect, slight trauma, mild scar, beautiful form and no dysfunction.

关 键 词：腋臭 微创 安全边界 病理 

分 类 号：R622[医药卫生—整形外科]