腋窝菌群敏感性与顶泌汗腺分布规律的研究

目的：探讨腋窝常见菌群的敏感性和顶泌汗腺的分布，为优化腋臭手术治疗方案，减少术后不良反应提供可靠依据。方法：术前取腋窝代谢物做细菌培养及药敏试验，在局部肿胀麻醉下，采用腋皱壁切口，切除腋浅筋膜浅面的顶泌汗腺治疗腋臭102例。取部分患者腋毛范围外0．5cm及腋毛中央切口皮肤标本送病理检查。结果：术后随访6～12个月，手术效果满意，总有效率97．5％。结论：根据顶泌汗腺的分布，采用合理的切开深度和分离范围修剪去除顶泌汗腺，使用敏感性的药物防感染治疗及妥善的术后护理，是保证腋臭手术成功，减少不良反应的关键。

Research of the sensibility of microbial population in axillary fossa and the distribution of apocrine sweat gland

Objective To discuss the sensibility of common microbial population in axiltary fossa, and the distribution of apocrine sweat gland, in order to provid dependable evidence for optimizing a scheme of osmidrosis operation and decrease postoperative adverse reaction. Methods To take the metabolin in axillary fossa for bacterial culture and susceptibility test when preoperation, Under local swelling anesthetize,we used the cut of axillary furrow to resect apocrine sweat gland and treated 102 cases of osmidrosis.we took part cases＂ skin at 0.Scm outside and centrally axillary hairs for pathology. Results After 6 ＋12 months＂ follow-up,postoperative results demonstrated satisfactory effect.the rate of excellence was 97.5%. Conclusion On the basis of distribution of apocrine sweat gland,reasonable depth of incision and extent of segregation,using sensitive drugs to prevent infection and appropriate postoperative care are the keys to guarantee the success and decrease adverse reaction of operation to treat osmidrosis.