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点阵微针射频治疗腋臭的临床效果:附91例报告
Clinical observation on the treatment of axillary osmidrosis with fractional microneedle radiofrequency: A report of 91 cases
({{custom_author.role_en}}), {{javascript:window.custom_author_en_index++;}}目的 观察点阵微针射频治疗腋臭的疗效和安全性,为腋臭个体化治疗提供参考。方法 选取2022年1月至2023年9月东莞市滨海湾中心医院采用点阵微针射频治疗的腋臭患者91例,6个月后随访,观察有效率,分析不同腋臭分级、性别、年龄及体质指数(BMI)患者的疗效差异,同时观察复发率、患者满意度及并发症情况。 结果 治疗后6个月,有效率为75.82%(69/91),复发率为5.79%(4/69)。不同腋臭分级中,轻度患者有效率低于中度和重度患者,差异有统计学意义(P<0.05),而中度与重度患者有效率相当(P>0.05)。不同性别、年龄、BMI的患者疗效差异均无统计学意义(P>0.05)。患者满意度为68.79%。并发症包括表皮烫伤5例、皮下结节8例,均1~2个月后自然消退,上肢皮肤麻木感5例,对症处理后1个月左右症状消退。 结论 点阵微针射频治疗腋臭具有安全、有效的特点,中重度患者治疗效果更明显。
Objective To observe the efficacy and safety of fractional microneedle radiofrequency in the treatment of axillary osmidrosis. Methods Ninty-one patients with axillary osmidrosis who were treated with fractional microneedle radiofrequency were enrolled at Dongguan Binhai-wan Central Hospital from January 2022 to September 2023. The effective rate was observed 6 months after the treatment, and the differences in the efficacy among patients with different axillary osmidrosis grades, gender, age and body mass index (BMI) were analyzed. Meanwhile, the recurrence rate and complications were observed. Results Six months after the treatment, the effective rate was 75.82% (69/91), and the recurrence rate was 5.79% (4/69). Among patients with different grades of axillary odor, the effective rate in mild patients was lower than that in moderate and severe patients (P<0.05), while the difference between moderate and severe groups was not significant (P>0.05).There was no significant difference in efficacy among gender, age, and BMI (P>0.05). The patient satisfaction rate was 68.79%. Epidermal burns and subcutaneous nodules were observed in 5 and 8 cases, respectively. But the symptoms subsided after 1~2 months without treatment. Numbness of arm occurred in 5 cases, and the symptoms disappeared one month after symptomatic treatment. Conclusions Fractional microneedle radiofrequency is safe and effective for axillary osmidrosis, especially for moderate and severe osmidrosis.
腋臭 / 点阵微针射频 / 疗效 {{custom_keyword}} /
axillary osmidrosis / fractional microneedle radiofrequency / efficacy {{custom_keyword}} /
表1 不同类别患者术后6个月疗效比较Table 1 Comparison of therapeutic effects 6 months after the treatment |
| 分类 | 总例数 | 治愈 | 显效 | 无效 | 有效率(%) | χ2值 | P值 |
|---|---|---|---|---|---|---|---|
| 性别 | 0.14 | 0.706 | |||||
| 女 | 59 | 12 | 32 | 15 | 74.58 | ||
| 男 | 32 | 5 | 20 | 7 | 78.13 | ||
| 年龄(岁) | 1.57 | 0.456 | |||||
| 18~27 | 46 | 10 | 26 | 10 | 78.26 | ||
| 28~37 | 32 | 3 | 19 | 10 | 68.75 | ||
| ≥38 | 13 | 4 | 7 | 2 | 84.62 | ||
| BMI | 0.60 | 0.741 | |||||
| 过轻 | 7 | 4 | 2 | 1 | 85.71 | ||
| 正常 | 63 | 11 | 37 | 15 | 76.19 | ||
| 超重/肥胖 | 21 | 2 | 13 | 6 | 71.43 | ||
| 腋臭分级 | 26.77 | <0.01 | |||||
| 轻度 | 10 | 0 | 1 | 9 | 10.00 | ||
| 中度 | 17 | 3 | 12 | 2 | 88.24 | ||
| 重度 | 64 | 14 | 39 | 11 | 82.81 |
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