【摘要】：目的:射頻其本質(zhì)為一種高頻電流,當其作用于人體組織時會產(chǎn)生振蕩電流,因人體各種離子在大小、質(zhì)量、電荷和移動速度等方面均存在不同的差異,在治療過程中產(chǎn)生振蕩離子相對摩擦產(chǎn)生熱能作用于靶組織。通過射頻技術(shù)的電熱作用對頂泌汗腺及其導管、部分毛囊燒灼從而治療腋臭。通過觀察比較微針射頻點陣與小切口修剪法用于腋臭治療后的臨床療效和安全性比較評估射頻在腋臭治療中的療效,從而探討射頻治療技術(shù)在腋臭治療中的價值。方法:60名臨床確診為腋臭的患者隨機分為微針射頻點陣治療組(30例)與小切口修剪法治療組(30例),微針射頻點陣治療組采用微針射頻點陣治療儀(以色列BodyTite)進行1次治療,手術(shù)組采用小切口修剪方法治療。參照VAS視覺模擬評分方法制定腋臭評分法對所有病人術(shù)前評分及術(shù)后隨訪評分,對比治療前、療程結(jié)束后3-6個月腋臭治療效果,記錄兩種治療方法的術(shù)后疼痛持續(xù)時間,不良反應。單次治療有效率應用SPSS19軟件進行數(shù)據(jù)統(tǒng)計學分析。結(jié)果:60例患者均完成1次治療,微針射頻點陣治療組總有效率73.3%;小切口修剪法治療組總有效率93.3%;微針射頻點陣治療組復發(fā)率10%,小切口修剪法復發(fā)率3.33%。結(jié)論:微針射頻點陣治療用于腋臭治療有效率雖不能和小切口修剪法相當,依據(jù)腋臭輕重程度不同及要求不一的患者,微針射頻點陣用于治療因其較少的并發(fā)癥和良好的術(shù)后外觀,對于輕中度的腋臭患者,特別是對外觀要求很高,對小切口修剪手術(shù)治療的并發(fā)癥有強烈恐懼心理的患者,是一種可供選擇的治療方式。
[Abstract]:Objective: radiofrequency (RF) is essentially a kind of high frequency current. When it acts on human tissues, it produces oscillatory currents, due to the differences in the size, mass, charge and moving speed of various ions in the human body. In the course of treatment, oscillating ions are produced relative to friction to produce heat energy acting on the target tissue. The apocrine sweat gland and its conduit were treated by electrothermal therapy of radiofrequency technique, and some hair follicles were cauterized to treat axillary odor. The clinical efficacy and safety of microneedle radiofrequency lattice and small incision pruning were compared to evaluate the efficacy of radiofrequency in the treatment of axillary odor, so as to explore the value of radiofrequency therapy in the treatment of axillary osmidrosis. Methods Sixty patients with bromhidrosis were randomly divided into two groups: the microneedle radiofrequency lattice group (30 cases) and the small incision pruning group (30 cases). The microneedle radiofrequency lattice therapy group was treated once with a microneedle radiofrequency dot array therapy (BodyTite). The operation group was treated with small incision pruning. According to the VAS visual analogue scoring method, the preoperative and follow-up scores of all patients were determined. The efficacy of axillary odor treatment was compared before and 3 to 6 months after treatment, and the duration of postoperative pain of the two treatment methods was recorded. Adverse reactions. The effective rate of single treatment was statistically analyzed by SPSS19 software. Results all 60 patients were treated once, the total effective rate of microneedle radiofrequency lattice group was 73.3, the total effective rate of small incision pruning group was 93.30.The recurrence rate of microneedle radiofrequency matrix treatment group was 10, and the recurrence rate of small incision pruning method was 3.33. Conclusion: the effective rate of microneedle radiofrequency lattice therapy for axillary odor is not comparable to that of small incision pruning. The microneedle radio frequency lattice is used to treat the patients with mild to moderate axillary odor because of its fewer complications and good postoperative appearance, especially those who have strong fear of the complications of small incision pruning surgery. Is an alternative treatment.
【學位授予單位】：重慶醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R758.741

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