重庆医学2011，Vol.40Issue(18)：1817-1819,3.DOI:10.3969/j.issn.1671-8348.2011.18.021
胸腔镜下胸交感神经链切断术治疗原发性手汗症137例临床分析
Clinical analysis of 137 cases of thoracoscopic thoracic sympathectomy for primary palmar hyerhidrosis
张沛 1江跃全1
作者信息
- 1. 重庆医科大学附属第二医院心胸外科,400010
- 折叠
摘要
Abstract
Objective To compare therapeutic e{{ects o{ thoracoscopic bilateral T3 and bilateral T2 ,T3 sympathectomy for primary palmar hyerhidrosis. Methods 137 follow-up cases o{ primary palmar hyperhidrosis were divided into T3 group(bilateral T3 sympathectomy)and T2 +T3 group(bilateral T2 and T3 sympathectomy)according to different surgical approaches. The relation of surgical approaches and remission rate of hyperhidrosis or incidence rate of metastatic sweating after operation were analyzed. Results There was no postoperative recurrence of hyperhidrosis and complications such as hemothorax, pneumothorax and Horner＇s syndrome occurred. Postoperative remission rate of head sweating and incidence rate of metastatic sweating of patients in T2 +T3 group were higher than that in T3 group(P＜0.05) ,and no significant difference between the two groups in postoperative remission rate of foot and armpit sweating and incidence rate of metastatic sweating(P＞0.05). Conclusion Bilateral thoracoscopic T3 sympathectomy is safe and effective,it can be used as the first choice for primary palmar hyperhidrosis treatment.关键词
多汗症/交感神经切除术/胸腔镜/手术后并发症Key words
hyperhidrosis/ sympathectomy/ thoracoscopes/ postoperative complications引用本文复制引用
张沛,江跃全..胸腔镜下胸交感神经链切断术治疗原发性手汗症137例临床分析[J].重庆医学,2011,40(18):1817-1819,3.
