Analysis On Clinical Effect Of Small-incision Apocrine Sweat Gland Excision For Treatment Of Bromhidrosis

[Objective]The paper is to explore clinical effect of small-incision apocrine sweat gland excision for treatment of bromhidrosis and to provide references for clinical treatment.[Method]A total of 106 bilateral bromhidrosis patients,who visited the Plastic Surgery Department of the First Affiliated Hospital of Kunming Medical University from June 2015 to June 2017 and treated with small-incision apocrine sweat gland excision,were collected and retrospectively summarized and analyzed for therapeutic effect,factors influencing therapeutic,postoperative complication and relapse.[Result]A total of 106 patients(212 sides)were treated with small-incision apocrine sweat gland excision in the study;the odor constituent ratios were significantly different between age groups(P<0.05).During postoperative follow-up of 6-24 months,the total recovery rate was 97.64%;a total of 86 affected sides were treated with single-incision excision and suggested a total recovery rate of 97.67%,while a total of 126 sides were operated with parallel dual-incision for the operation and indicated a total recovery rate of 97.62%.After operation,scar hypertrophy and undesirable healing occurred in 33 sides(15.57%)and 1 side(0.47%)respectively;the total occurrence of complication was 16.04%.The amounts of scar hypertrophy were 12(13.95%)and 21(16.67%)respectively in ones treated single-incision and parallel dual-incision excisions,while the case with undesirable healing was treated with the latter mode,suggesting an occurrence of 0.79%.[Conclusion]The odor degree presents a declining tendency with age.Small-incision apocrine sweat gland excision is characterized by good therapeutic effects,a high global recovery rate,a low occurrence of complication and a low relapse rate for treatment of bromhidrosis.