Is Liposuction with Shaving an Effective Treatment for Bromhidrosis?

皮下脂肪抽取術結合旋轉刀刮除術能否有效治療狐臭？

羅國銓(Kuo-Chuan Lo) ； 林煌基(Hwang-Chi Lin) ； 鄭舉緒(Chu-Hsu Jeng) ； 洪欣瑜(Hsin-Yu Hung) ； 謝承翰(Cheng-Han Hsieh)

《中華民國整形外科醫學會雜誌》 18卷4期 (2009/12) Pp. 340-345

https://doi.org/10.7096/JPSA.200912.0340

摘要

背景：
狐臭是個令人困擾的問題，它會產生令人不悅之氣味且造成衣服染色。有研究顯示狐臭病人身上其頂漿腺數量較正常人發達。若我們能利用手術移除越多之頂漿腺，則手術結果應越好。
目的與目標：
藉由病理組織切片觀察頂漿腺的數量來評估皮下脂肪抽取術結合旋轉刀刮除術能否有效治療狐臭。
材料與方法：
從2007年1月至12月，共6位病人因為狐臭接受皮下脂肪抽取術結合旋轉刀刮除術。術後我們以病理切片來評估頂漿腺數量有無明確之減少且觀察病人臭味有無明顯改善。
結果：
頂漿腺的數量由術前之46.83明顯下降至術後之2.33。所有之病人都能滿意術後臭味改善之情況。
結論：
藉由手術，頂漿腺的數量及狐臭之氣味都有明顯之改善。我們認為以皮下脂肪抽取術結合旋轉刀刮除術能有效治療狐臭。

並列摘要

Background:
Bromhidrosis is a troublesome problem that includes unpleasant odor and the occasional staining of clothing. Bromhidrosis patients are known to have more apocrine sweat glands than normal adults.
Aim and Objectives:
This study was conducted to evaluate the effectiveness of treating axillary bromhidrosis by subcutaneous liposuction with shaving according to histological examination of apocrine glands.
Materials and Methods:
From January of 2007 through December of 2007, 6 patients underwent subcutaneous liposuction with shaving for bromhidrosis. Pre- and post-operative skin samples were collected and histologically examined to evaluate the number of apocrine sweat glands. The wound and odor conditions were followed up clinically.
Results:
The average number of apocrine glands is obviously decreased from 46.83 to 2.33 after the operation. All six patients were satisfied with the clinical results of the operation.
Conclusion:
The operation decreased the number of apocrine glands found under histologic examination and the unpleasant odor improved clinically. Our study found subcutaneous liposuction with shaving an effective treatment for bromhidrosis.

並列關鍵字

bromhidrosis ； apocrine gland ； subcutaneous liposuction ； shaving