摘要目的 探讨内窥镜辅助吸引切割器切除腋下顶泌汗腺治疗腋臭的临床疗效.方法 2015年5月至2017年4月,滨州医学院烟台附属医院整形美容科用内窥镜辅助吸引切割器切除腋臭顶泌汗腺30例.根据手术后效果及并发症情况给予疗效评价.结果 30例患者术后7～10 d创面愈合,恢复正常生活.随访1～2年,创面无感染、无皮肤坏死、手术瘢痕小、异味完全消失.结论 内窥镜辅助吸引切割器切除腋臭顶泌汗腺是一种直视下微创手术,能彻底切除顶泌汗腺,完好保留真皮血管网,减少术后并发症,效果满意.

abstractsObjective To explore the clinical effect of endoscope assisted suction-cutter removal of apocrine sweat glands in treatment of osmidrosis.Methods This study generalized and analyzed the curative effects of 30 patients with axillary osmidrosis,treated with endoscopy assisted suction-cutter removal of apocrine sweat glands.The efficacy was evaluated according to the postoperative results and complications.Results In all the 30 patients,wound healed 7 to 10 days after operation,and they resumed almost normal life after treatment.From May 2015 to April 2017,the follow-up visits showed that none of them had relapse,infection or skin necrosis.Surgical scar was slight,and in all the patients,symptoms disappeared.Conclusions The operation of endoscopy assisted suction-cutter removal of apocrine sweat glands is a minimally invasive surgery.The advantages include direct vision,radical operation,well preserved dermal vascular network and lower risk of complications.