微波和黄金微针治疗腋臭的临床疗效比较

Comparison of clinical efficacy of microwave thermotherapy versus microneedling in the treatment of axillary bromhidrosis

目的比较微波和黄金微针治疗腋臭的临床疗效及安全性。方法2018年5月至2019年3月在第四军医大学西京医院皮肤科门诊收集不同程度的腋臭患者116例,分别用miraDry微波仪(56例)和黄金微针(60例)治疗,术后随访12个月,观察临床疗效、并发症和复发率。结果经12个月随访,微波组有效率为94.64%(53例),复发率为5.36%(3例);黄金微针组有效率为93.33%(56例),复发率为6.67%(4例),两组有效率和复发率差异均无统计学意义(χ^(2)=0.088,P=0.767)。但是,微波组术后并发症发生率为0,黄金微针组为6.67%(2例皮肤烫伤和2例瘢痕形成),两组差异有统计学意义(χ^(2)=3.867,P=0.049)。结论黄金微针与微波治疗腋臭临床疗效相当,但微波并发症发生率更低。

Objective To compare clinical efficacy and safety of microwave thermotherapy versus microneedling in the treatment of axillary bromhidrosis.Methods From May 2018 to March 2019,116 patients with different degrees of axillary bromhidrosis were collected from Department of Dermatology,Xijing Hospital,The Fourth Military Medical University,including 56 treated with microwave thermotherapy by using a miraDry device,and 60 treated with microneedling by using a BodyTite device.These patients were followed up for 12 months after treatment,and clinical efficacy,complications and recurrence rate were evaluated.Results After 12 months of follow?up,no significant difference in the response and recurrence rates were observed between the microwave group(94.64%[53 cases],5.36%[3 cases],respectively)and microneedling group(93.33%[56 cases],6.67%[4 cases],respectively;χ^(2)=0.088,P=0.767).However,the incidence of postoperative complications was significantly lower in the microwave group(0)than in the microneedling group(6.67%,including 2 cases of skin burns and 2 cases of scars;χ^(2)=3.867,P=0.049).Conclusion In the treatment of axillary bromhidrosis,microwave thermotherapy showed equivalent clinical efficacy to microneedling,with lower incidence of complications.