微创负压抽吸术联合InMode钻石精雕治疗腋臭的临床疗效观察  

Clinical effects of minimally invasive negative pressure curettage combined with InMode diamond carving on axillary osmidrosis and axillary hyperhidrosis

作　　者：龙腾 徐燃 郑艳丽 陈浩然 Long Teng;Xu Ran;Zheng Yanli;Chen Haoran(Department of Dermatology,Sichuan Huamei Zixin Medical Beauty Hospital,Chengdu 610093,China)

机构地区：[1]四川华美紫馨医学美容医院皮肤科,成都610093

出　　处：《中华医学美学美容杂志》2024年第6期593-597,共5页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨微创负压抽吸术联合InMode钻石精雕治疗腋臭的疗效。方法前瞻性纳入2022年2月至2023年2月四川华美紫馨医学美容医院200例腋臭患者,男89例,女111例,年龄(27.9±8.0)岁。根据不同的治疗方法,采用随机数字表法将患者分为2组,每组100例。对照组采用微创负压抽吸手术,试验组采用微创负压抽吸手术联合钻石精雕手术。术后随访1年,比较两组患者的疗效、复发率以及不良反应发生率等情况。结果试验组94例痊愈,6例有效,0例无效,有效率为100%(100/100);对照组90例痊愈,5例有效,5例无效,有效率为95%(95/100);试验组有效率高于对照组,差异有统计学意义(χ^(2)=5.128,P=0.024)。试验组0例复发,复发率为0;对照组5例复发,复发率为5.3%(5/95);试验组复发率低于对照组,差异有统计学意义(χ^(2)=5.390,P=0.020)。对照组患者发生5例皮下血肿、1例条索状挛缩、7例瘢痕增生、1例皮肤坏死,不良反应发生率为14.0%(14/100);试验组患者发生2例皮下血肿、5例条索状挛缩、5例瘢痕增生等,不良反应发生率为12.0%(12/100);两组患者术后不良反应发生率差异无统计学意义(χ^(2)=0.177,P=0.674)。结论微创负压抽吸术联合InMode钻石精雕治疗腋臭疗效较好,复发率较低。ObjectiveTo explore the efficacy of negative pressure suction curettage combined with InMode diamond carving in the treatment of axillary osmidrosis.MethodsA total of 200 patients with bromhidrosis,89 males and 111 females,aged(27.85±7.98)years,were prospectively included in the study from February 2022 to February 2023 in Huamei Zixin Medical Cosmetology Hospital in Sichuan Province.According to different treatment methods,the patients were divided into 2 groups with 100 cases in each group by random number table method.The control group received negative pressure suction curettage,and the experimental group received combination with InMode diamond carving.After follow-up for one year,the efficacy,recurrence rate and incidence of adverse reactions were compared between the two groups.ResultsIn the experimental group,94 cases were cured,6 cases were effective,0 cases were ineffective;the effective rate was 100%(100/100).In the control group,90 cases were cured,5 cases were effective and 5 cases were ineffective;the effective rate was 95%(95/100).The effective rate of experimental group was higher than that of control group,and the difference was statistically significant(χ^(2)=5.128,P=0.024).In the experimental group,no cases relapsed,and the recurrence rate was 0.In the control group,5 cases relapsed,and the recurrence rate was 5.3%(5/95).The recurrence rate of experimental group was lower than that of control group,and the difference was statistically significant(χ^(2)=5.390,P=0.020)In control group,5 cases of subcutaneous hematoma,1 case of scar contracture,7 cases of scar hyperplasia,and 1 case of skin necrosis occurred;the incidence of adverse reactions was 14.0%(14/100).In the experimental group,2 cases of subcutaneous hematoma,5 cases of scar contracture and 5 cases of scar hyperplasia occurred;the incidence of adverse reactions was 12.0%(12/100).There was no significant difference in the incidence of postoperative adverse reactions between the two groups(χ^(2)=0.177,P=0.674).ConclusionsNegative pressu

关 键 词：腋臭 双极射频 微创腋臭根治术 疗效 

分 类 号：R758.741[医药卫生—皮肤病学与性病学]