Objective To approach the clinical ef icacy and comprehension of orthophoric apocrine sweat gland curet age with minimal incision along axil ary fold for osmidrosis. Methods 99 osmidrosis patients were underwent orthophoric apocrine sweat glands curet age with minimal incision along axil ary fold, and then their therapeutic ef icacy and clincal reactive manifest were observed and analysed. Results 92 of 99 osmidrosis patients had healed primarily with concealed tiny scar. 7 of 99 cases had healed secondly, but 5 patients occur enced haematoma and 2 patients appeared necrosis at the incisal edge.Al patients were fol owed up by outpatients or phone asking after 6 months underwent the curet age.And 76 patients with the healing wel ,17 suf erers with excel ent ef ect, 2 victims only ef ective,but regret 4 patients were loss vist.Al patients hadn't relapsed osmidrosis and without other complications occur enced, so they feel content with this way of surgery treatment . Conclusion The curative ef ects were content with the orthophoric apocrine sweat gland curet age by minimal incision along axil ary fold for osmidrosis,and the scar were tiny,so it would be deserved to spread using.%目的探讨顺腋皱襞小切口直视下清除大汗腺治疗腋臭的临床效果和体会。方法对我科门诊99例腋臭患者应用顺腋皱襞皮纹小切口直视下修剪清除大汗腺治疗，对其疗效及临床表现进行观察分析。结果99例患者Ⅰ期愈合92例，瘢痕细小、隐蔽。Ⅱ期愈合7例，其中5例血肿形成、2例皮缘坏死。术后6个月后门诊随访或电话随访，治愈者76例、显效17例、有效2例、失访4例。患者无腋臭复发及其他并发症发生、效果满意。结论顺腋皱襞皮纹小切口直视下修剪清除大汗腺治疗腋臭疗效满意、瘢痕细小、值得推广。
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