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.
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.
摘要：
背景：腋窝多汗症和腋臭是临床常见疾病，影响患者的工作和生活。负压吸刮术是目前最流行的治疗方法，但受到一种新的微波疗法（MiraDry）的挑战。我们打算比较两种治疗方法的安全性和效率。
方法：对同时患有原发性多汗症和腋臭的39例女性患者进行回顾性分析。17名患者接受了MiraDry治疗，22人接受负压吸引刮治。术后随访计划包括汗液和气味评估，满意度测量，安全评价,并在不同时间点进行复发评估，直至12个月。
结果：与基线相比，两种治疗方法在6个月和12个月时的HDSS评分和气味水平均显着降低（P<0.05）。两组之间的相对减少没有显着差异。微波治疗组的满意度评分高于负压吸引刮宫组,但没有发现统计学差异。两组之间的复发率和并发症发生率差异无统计学意义。
结论：基于微波的治疗是一种具有持久效果的无创治疗，低风险,更短的停机时间，外观好,对腋下多汗症和腋臭的满意度很高。
方法：对同时患有原发性多汗症和腋臭的39例女性患者进行回顾性分析。17名患者接受了MiraDry治疗，22人接受负压吸引刮治。术后随访计划包括汗液和气味评估，满意度测量，安全评价,并在不同时间点进行复发评估，直至12个月。
结果：与基线相比，两种治疗方法在6个月和12个月时的HDSS评分和气味水平均显着降低（P<0.05）。两组之间的相对减少没有显着差异。微波治疗组的满意度评分高于负压吸引刮宫组,但没有发现统计学差异。两组之间的复发率和并发症发生率差异无统计学意义。
结论：基于微波的治疗是一种具有持久效果的无创治疗，低风险,更短的停机时间，外观好,对腋下多汗症和腋臭的满意度很高。
