马朝辉 李子国 李扬 陈文换 杨峰燕 严晓苓

    [摘要]目的：探析腔镜腋下大汗腺切除术治疗腋臭效果及组织学变化。方法：回顾性分析2018年7月-2020年7月笔者医院收治的120例腋臭患者临床资料，按术式不同分为腔镜腋下大汗腺切除术组(腔镜组，n=60)和小切口腋下大汗腺切除术组(小切口组，n=60)。比较两组患者术后有效率、复发率、二次治疗率及并发症发生情况。结果：术后6个月，腔镜组有效率高于小切口组(P<0.05)；腔镜组并发症发生率低于小切口组(P<0.05)，患者复发率及二次治疗率均低于小切口组(P<0.05)；腔镜组大汗腺切除后切缘组织镜下均仅见少量大汗腺。结论：腔镜下大汗腺切除术治疗腋臭有效率高，并发症少，复发率低，组织学可证实，整体疗效肯定。

    [关键词]腋臭；腋下大汗腺；腔镜；切除术；小切口；疗效

    [中图分类号]R758.74+1? ? [文献标志码]A? ? [文章编号]1008-6455(2023)08-0044-03

    Effect and Histological Analysis of Endoscopic Apocrine Sweat Glandectomy in the Treatment of Axillary Odour

    MA Zhaohui1，LI Ziguo1，LI Yang1，CHEN Wenhuan2，YANG Fengyan2，YAN Xiaoling2

    (1.Department of General Surgery; 2.Department of Pathology，Zhuozhou Hospital，Baoding 072750，Hebei，China)

    Abstract： Objective? To investigate the effect and histological changes of endoscopic apocrine sweat glandectomy in the treatment of bromhidrosis. Methods? The clinical data of 120 patients with axillary osmidrosis admitted to the author's hospital from July 2018 to July 2020 were retrospectively analyzed. According to different surgical methods ......