俞珊 袁冰峰 张盛玲 李震

    [摘要]目的：探讨一种简单实用、疗效确切、并发症少的腋臭根治术式。方法：选择2015年12月-2020年11月诊治的腋臭患者228例(456侧)为研究对象，采用保留真皮下血管网超薄皮瓣并清除汗腺的方法根治腋臭。术前在腋毛边缘外扩0.5～1.0 cm处标记手术范围后剃除腋毛；术区内顺腋横纹方向标记2条平行切口线，使得切开后形成的双蒂皮瓣长宽比例不超过2.5：1；在直视状态下剪除皮瓣上附着的皮下脂肪、大汗腺以及毛囊等组织，并保留真皮下血管网，形成带真皮下血管网的超薄皮瓣；术毕打包加压固定。结果：本组病例228例(456侧)，治愈435侧，显效21侧，无效0侧。结论：该方法具有操作安全简单，痛苦小，并发症少，疗效好，术后外观符合美学要求等特点。

    [关键词]腋臭；根治术；汗腺；真皮下血管网；超薄皮瓣；打包固定

    [中图分类号]R622? ? [文献标志码]A? ? [文章编号]1008-6455(2023)03-0053-03

    Abstract： Objective? To explore a radical treatment of auxiliary osmidrosis which is practical，with definite effects and few complications. Methods? A total of 228 patients (456 sides) with axillary osmidrosis diagnosed and treated from December 2015 to November 2020 were selected as the research objects.Axillary osmidrosis was treated by preserving the ultrathin skin flap with subdermal vascular network and removing sweat glands.Before the operation ......