微波和小切口吸刮术治疗腋臭的效果及安全性比较  

Comparison of clinical efficacy and safety of microwave therapy versus suction-curettage through small incisions in the treatment of axillary osmidrosis

作　　者：陈慧[1] 赵涛[1] 刘玲[1] 马翠玲[1] Chen Hui;Zhao Tao;Liu Ling;Ma Cuiling(Department of Dermatology,Xijing Hospital,Fourth Military Medical University,Xi′an 710032,China)

机构地区：[1]第四军医大学西京皮肤医院,西安710032

出　　处：《中华皮肤科杂志》2020年第1期56-57,共2页Chinese Journal of Dermatology

摘　　要：目的比较微波和小切口吸刮术治疗腋臭的临床效果和安全性。方法2017年1月至2018年2月在第四军医大学西京医院皮肤科收集60例腋臭患者,左侧腋窝用miraDry微波治疗仪治疗(微波组),右侧用小切口皮下吸刮术治疗(吸刮组),记录两组的手术时间。随访半年,比较两组的疗效、并发症等。结果随访6个月,微波组有效率为93.33%(56例),复发率为6.67%(4例),吸刮组分别为96.67%、3.33%,两组间差异均无统计学意义(均P>0.05)。但微波组术后并发症发生率为0,吸刮组为6.67%,差异有统计学意义(χ^2=4.138,P=0.042)。结论对比小切口吸刮术,微波治疗具有非侵入性、手术并发症少等优点。Objective To compare clinical efficacy and safety of microwave therapy versus suction-curettage through small incisions in the treatment of axillary osmidrosis.Methods Totally,60 patients with axillary osmidrosis were enrolled from Department of Dermatology,Xijing Hospital,Fourth Military Medical University from January 2017 to February 2018.Every patient received miraDry microwave therapy on the left axillary(microwave therapy group)and suction-curettage through small incisions on the right axillary(suction-curettage group),and operation duration was recorded.After follow-up of half a year,clinical efficacy and complications were compared between the two groups.Results After 6-month follow-up,no significant differences were observed in the response rate or recurrence rate between the microwave therapy group(93.33%[56/60],6.67%[4/60]respectively)and suction-curettage group(96.67%[58/60],3.33%[2/60]respectively;both P>0.05).However,the incidence rate of postoperative complications was significantly lower in the microwave therapy group(0)than in the suction-curettage group(6.67%[4/60],χ^2=4.138,P=0.042).Conclusion Compared with suction-curettage through small incisions,microwave therapy has advantages of being non-invasive and less postoperative complications.

关 键 词：臭汗症 微波 刮除术 治疗结果 小切口吸刮术 

分 类 号：R758[医药卫生—皮肤病学与性病学]