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一项评估三频超声治疗轻至重度寻常痤疮临床疗效的回顾性实用性双中心临床研究。

A Retrospective Pragmatic Two-Center Clinical Study to Evaluate the Clinical Outcome of Triple-Frequency Ultrasound in the Treatment of Mild-to-Severe Acne Vulgaris.

作者信息

Chervinskaya Irina G, Gaidash Nataliia V, Kruglikov Ilja L

机构信息

Clinic DK Forma, St Petersburg, Russian Federation.

Clinic TriActive, Moscow, Russian Federation.

出版信息

J Cosmet Dermatol. 2025 Feb;24(2):e16672. doi: 10.1111/jocd.16672. Epub 2024 Nov 17.

Abstract

OBJECTIVES

Earlier, quickly alternating dual-frequency ultrasound waves (LDM technology) were successfully applied for the treatment of different inflammatory skin conditions such as rosacea and acne. In this retrospective pragmatic two-center clinical study, we applied the triple-frequency LDM (TF-LDM) technology with frequencies of 1/3/10 and 3/10/19 MHz for the treatment of mild-to-severe acne skin to assess the effectivity and sustainability of the treatment outcomes.

METHODS

Twenty-two patients with mild-to-severe acne were included in this study: 11 patients were treated with TF-LDM (1/3/10 MHz), and other 11 patients-with TF-LDM (3/10/19 MHz). Assessment of the acne severity was done using the bilateral facial photographs. The photos were evaluated at baseline (T1), on the day of the last treatment (T2), and during the follow-up controls (T3). Assessment of the acne severity was provided in accordance with a modified Global Evaluation Acne (mGEA) scale by nine independent dermatologists who were blinded to treatment assignments.

RESULTS

The average improvement of the mGEA scoring between T1 and T2 across all patients was 73.69% ± 13.90% (p < 0.01), whereas the skin improvement between T1 and T3 was 90.14% ± 8.35% (p < 0.01). The state of the skin was also statistically significantly improved between T2 and T3 (53.26% ± 29.24%, p < 0.02). There was no difference in treatment outcomes between the patients treated with TF-LDM (1/3/10 MHz) and TF-LDM (3/10/19 MHz).

CONCLUSIONS

TF-LDM is an effective method for the treatment of the mild-to-severe acne skin that provides a significant skin improvement and long-lasting treatment results. The method demonstrates no significant side effects, is pain-free, well tolerated, and highly accepted by patients.

摘要

目的

早期,快速交替双频超声波(LDM技术)已成功应用于治疗不同的炎症性皮肤病,如酒渣鼻和痤疮。在这项回顾性实用双中心临床研究中,我们应用频率为1/3/10和3/10/19 MHz的三频LDM(TF-LDM)技术治疗轻至重度痤疮皮肤,以评估治疗效果的有效性和可持续性。

方法

本研究纳入22例轻至重度痤疮患者:11例患者接受TF-LDM(1/3/10 MHz)治疗,另外11例患者接受TF-LDM(3/10/19 MHz)治疗。使用双侧面部照片评估痤疮严重程度。照片在基线(T1)、最后一次治疗当天(T2)以及随访对照期间(T3)进行评估。由9名对治疗分配不知情的独立皮肤科医生根据改良的全球痤疮评估(mGEA)量表对痤疮严重程度进行评估。

结果

所有患者在T1和T2之间mGEA评分的平均改善率为73.69%±13.90%(p<0.01),而在T1和T3之间皮肤改善率为90.14%±8.35%(p<0.01)。在T2和T3之间皮肤状态也有统计学显著改善(53.26%±29.24%,p<0.02)。接受TF-LDM(1/3/10 MHz)治疗的患者与接受TF-LDM(3/10/19 MHz)治疗的患者在治疗结果上没有差异。

结论

TF-LDM是一种治疗轻至重度痤疮皮肤的有效方法,可显著改善皮肤状况并产生持久的治疗效果。该方法未显示出明显的副作用,无痛,耐受性好,且患者接受度高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b10d/11845943/1cd482d25dc2/JOCD-24-e16672-g007.jpg

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