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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2020年6期

页码:

35-38

栏目:

出版日期:

2020-06-10

文章信息/Info

Title:

 A Comparative Study on Radiofrequency Surgery for BodyTite Gold Microneedles
and Small Incision Sweat Gland Exfoliation in the Treatment of Bromhidrosis

文章编号:

1008-6455（2020）06-0035-04

作者:

 刘长海; 丁祥生; 魏翠娥; 裴永东

Author(s):

 LIU Chang-hai;  DING Xiang-sheng;  WEI Cui-e;  PEI Yong-dong

关键词:

 [关键词]腋臭; BodyTite黄金微针射频术; 小切口大汗腺腺体剥离术; 满意度; 疼痛; 并发症

Keywords:

 Key words: bromhidrosis;  BodyTite gold microneedle radiofrequency;  small incision apocrine gland dissection;  satisfaction; pain; complication

分类号:

R758.74+1

文献标志码:

A

摘要:

[摘要]目的：探究BodyTite黄金微针射频术与小切口大汗腺腺体剥离术治疗腋臭患者的临床效果。方法：选择2016年8
月-2019年6月于笔者医院烧伤整形科就诊的60例腋臭患者为研究对象，采用随机数字表法分为小切口手术组和黄金微针
组，每组30例。小切口手术组予以小切口大汗腺腺体剥离术治疗，黄金微针组予以BodyTite黄金微针射频术治疗，两
组术后随访6个月，比较术后的疗效、满意度，统计两组术后1d、术后3d、术后7d的疼痛程度，并记录两组术后疼痛
持续时间，观察两组手术及随访期间的手术并发症发生情况。结果：黄金微针组总有效率96.67%，高于小切口手术
组的90.00%，总满意度90.00%，高于小切口手术组的73.33%，但两组总有效率、满意度比较差异均无统计学意义（P ＞
0.05）。观察组并发症总发生率3.33%，低于小切口手术组的26.67%，两组比较差异有统计学意义（P ＜0.05）。术后3d和术
后7d两组VAS评分低于术后1d，术后7d低于术后3d，且黄金微针组均低于小切口手术组（P ＜0.05）；黄金微针组疼痛持续时
间短于小切口手术组（P ＜0.05）。黄金微针组治疗后腋窝皮肤几乎表面无瘢痕，无色素沉着；小切口手术组治疗后出现轻
微瘢痕、色素沉着，少数病例甚至因切口愈合不良形成瘢痕增生，影响上肢活动及外观。结论：BodyTite黄金微针射频术、
小切口大汗腺腺体剥离术治疗腋臭的疗效及患者满意度相当，且均无严重并发症，但BodyTite黄金微针射频术可更好地减轻
术后疼痛，促进术后恢复，美容效果好，值得临床进一步推广应用。

Abstract:

Abstract: Objective To explore the clinical effects of BodyTite gold microneedle radiofrequency and small incision apocrine
gland dissection in the treatment of 30 cases of bromhidrosis. Methods Sixty patients with bromhidrosis who visited the
department of burn and plastic surgery in our hospital between August 2016 and June 2019 were randomly divided into the
small incision surgery group and the gold microneedle group, each with 30 cases. The small incision operation group was
treated with small incision apocrine gland dissection, and the gold microneedle group was treated with BodyTite gold microneedle
radiofrequency. The two groups were followed up for 6 months. The curative effect and satisfaction of the two groups at 6
months after operation were compared. The pain degree of the two groups at 1d, 3d and 7d after operation was counted. The
postoperative pain duration of the two groups was recorded. The occurrence of surgical complications during operation and
follow-up of the two groups was observed. Results The total effective rate of gold microneedle group was 96.67%, higher than
90.00% and the total satisfaction rate was 90.00%, higher than 73.33% and the total incidence rate of complications was 3.33%,
lower than 26.67% in the small incision operation group. However, there was no statistical difference in the total effective rate,
satisfaction rate and the total incidence rate of complications between the two groups (P ＞0.05). The VAS scores of the two
groups were lower than 1d, 7d and 3d respectively, and the gold microneedle group was lower than the small incision operation
group (P ＜0.05). The pain duration time in the gold microneedle group was shorter than the small incision operation group
(P ＜0.05). After treatment, the axillary skin in the gold microneedle group had almost no scar and no pigmentation. Slight
scar and pigmentation appeared after treatment in the small incision operation group. Scar hyperplasia was even formed in
a few cases due to poor incision healing, which affected upper limb movement and appearance. Conclusion BodyTite gold
microneedle radio frequency surgery and small incision apocrine gland dissection have the same curative effect and patient
satisfaction in the treatment of bromhidrosis, and have no serious complications. However, BodyTite gold microneedle radio
frequency surgery can better reduce postoperative pain and promote postoperative recovery, which is worthy of further clinical
research and promotion.

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更新日期/Last Update: 2020-06-24