目的 观察微创平行双切口皮下修剪法治疗腋臭的临床效果和腋臭大汗腺的显微组织结构,进一步明确大汗腺的分布范围,指导手术治疗.方法 采用微创平行双切口皮下修剪法治疗96例腋臭患者,并在手术中切取自愿者腋窝正中皮肤组织,送病理检测分析,了解大汗腺组织的深度、范围、密度等.结果 随访1年,所有腋臭患者术后效果理想,病理检查皮肤组织均检测到大汗腺,大汗腺位于表皮下1.0～2.0 mm.水平分布腋毛外缘0.5 cm处有少量大汗腺组织,外缘1.0 cm处未检出大汗腺组织.结论 微创平行双切口皮下修剪法治疗腋臭术后效果理想,但应注意手术切除的范围及深度,减少复发.%Objective: To investigate the effect of treatment for axillary osmidrosis with subcutaneous trimming under parallel micro-incision , and observe the microscopic structure of apocrine glands for locating their distribution to guide surgery. Methods: Ninety-six cases with axillary osmidrosis were treated with subcutaneous trimming under parallel micro-incision. Skin tissue of volunteers axillary were cutted for pathology testing analysis to make sure the depth, range and density of apocrine glands. Results: All patients were followed up for one year, the surgery results were good. Apocrine glands were detected using histopathology, which located under 1.0-2.0 mm of the periderm. A few glands were found around 0. 5 cm and no about 1. 0 cm of hair. Conclusions:The effect of treatment for axillary osmidrosis with subcutaneous trimming under parallel micro-incision were good, but the range and depth of surgery should be noticed, which can reduce the relapse.
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