All authors are affiliated with the Department of Dermatology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Dermatol Surg. 2022 Jan 1;48(1):126-130. doi: 10.1097/DSS.0000000000003276.
A microwave-based device is a newly developed method for treating axillary osmidrosis. Few studies have compared the difference between microwave therapy and subcutaneous curettage for axillary osmidrosis.
To compare the long-term effectiveness, complications, and recurrence of osmidrosis after microwave therapy and subcutaneous curettage.
Medical records of 155 patients with osmidrosis treated with microwave therapy or subcutaneous curettage were reviewed retrospectively. Demographic data, visual analog scale for odor, hyperhidrosis disease scale, complications, and recurrence were analyzed.
Osmidrosis improved significantly in both treatment groups at 6 months. Effective improvement was observed in 90% and 23% of the patients in the surgery and microwave groups, respectively, after 3 years postoperatively. The recurrence rates were 39% and 21% in the microwave and surgery groups, respectively. The transient complication rate was higher in the microwave group, and long-term complications only occurred in the surgery group.
Subcutaneous curettage is a more effective approach for axillary osmidrosis. However, microwave therapy is recommended for patients with cosmetic concerns.
微波治疗是一种治疗腋窝臭汗症的新方法。很少有研究比较微波治疗与皮下刮除术治疗腋窝臭汗症的差异。
比较微波治疗与皮下刮除术治疗腋窝臭汗症的长期疗效、并发症和复发率。
回顾性分析了 155 例接受微波治疗或皮下刮除术治疗的腋臭患者的病历。分析了患者的人口统计学数据、气味视觉模拟评分、多汗症疾病评分、并发症和复发情况。
两组患者在治疗后 6 个月时臭味均有明显改善。术后 3 年，手术组和微波组的有效改善率分别为 90%和 23%。微波组的复发率为 39%，手术组为 21%。微波组的暂时性并发症发生率较高，而手术组仅发生长期并发症。
皮下刮除术是治疗腋窝臭汗症的更有效方法。然而，对于有美容问题的患者，推荐使用微波治疗。
