Comparison of Microwave-Based Therapy and Negative-Pressure Suction-Curettage for Axillary Hyperhidrosis and Bromhidrosis: A Retrospective Analysis.

IF 1.4 4区医学 Q3 SURGERY Annals of Plastic Surgery Pub Date : 2024-08-01 DOI:10.1097/SAP.0000000000003929

Yining Ge, Jiaqi Liu, Rufan Zhang

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Abstract

Background: Axillary hyperhidrosis and bromhidrosis are common clinical diseases, affecting the patients' work and life. Negative-pressure suction-curettage is the most popular treatment now, but challenged by a new microwave-based therapy (MiraDry). We intend to compare the safety and efficiency of the 2 treatments.

Methods: A retrospective analysis of 39 female patients with both primary hyperhidrosis and bromhidrosis was conducted. Seventeen patients were treated with MiraDry, and 22 underwent negative-pressure suction-curettage. The postoperative follow-up program included sweat and odor assessments, satisfaction measurement, safety evaluation, and recurrence assessment at different time points until 12 months.

Results: Both treatments showed a significant reduction (P < 0.05) in HDSS score and odor level at 6 and 12 months compared with the baseline. No significant difference in relative reduction was observed between the 2 groups. The satisfaction score of the microwave-based therapy group was higher than that of the negative-pressure suction-curettage group, but no statistical difference was found. The difference in the recurrence rate and complication rate between the groups did not reach significance.

Conclusions: Microwave-based therapy is a noninvasive treatment with durable effects, low risks, shorter downtime, good appearance, and high satisfaction for axillary hyperhidrosis and bromhidrosis.

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微波疗法与负压吸脂术治疗腋窝多汗症和狐臭的比较：回顾性分析

背景：腋窝多汗症和狐臭是临床常见病，影响患者的工作和生活。负压吸引-刮除法是目前最流行的治疗方法，但受到一种新型微波疗法（MiraDry）的挑战。我们打算比较这两种疗法的安全性和有效性：我们对 39 名患有原发性多汗症和狐臭的女性患者进行了回顾性分析。17名患者接受了MiraDry治疗，22名患者接受了负压吸引-刮除治疗。术后随访项目包括汗液和气味评估、满意度测量、安全性评估以及12个月前不同时间点的复发评估：结果：与基线相比，两种治疗方法在 6 个月和 12 个月时的 HDSS 评分和气味水平都有明显降低（P < 0.05）。两组之间的相对降低幅度无明显差异。微波治疗组的满意度评分高于负压吸引-刮宫组，但未发现统计学差异。两组的复发率和并发症发生率差异无显著性：微波疗法是一种无创治疗方法，对腋下多汗症和狐臭具有疗效持久、风险低、停工期短、外观好、满意度高等优点。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Plastic Surgery 医学-外科

CiteScore

2.70

自引率

13.30%

发文量

584

审稿时长

6 months

期刊介绍： The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.