新医学2012，Vol.43Issue(7)：473-475,3.DOI:10.3969/g.issn.0253-9802.2012.07.012
胸腔镜下交感神经切除术治疗手汗症的学习曲线
The learning curve of endoscopic thoracic sympathectomy for treatment of primary Hyperhidrosis
吴伟彬 1谷力加 1黄邵洪 1张健 1廖洪映 1李昀 1蔡松旺 1陈惠国 1王翠苹 1李小军1
作者信息
- 1. 中山大学附属第三医院胸心外科,510630
- 折叠
摘要
Abstract
Objective: To evaluate the learning curve of endoscopic thoracic sympathectomy ( ETC ) for treatment of primary hyperhidrosis. Methods: Sixty patients with primary hyperhidrosis were treated by endoscopic tho -racic sympathectomy by a single group of surgeons. The patients were divided into three group ( Group A, B and C , n = 20 ) according to operative sequence. The operative duration ( Dl ) , the duration between ganglia identifi -cation and resection ( D2) , the length of postoperative hospital stay , and complications were recorded. Dl and D2 were chose as the main indexes of learning curve. Results:Dl in Group A (76 ±17) min was significantly longer than that in Group B (33 ±7) min or Group C (48 ±11) min, and so was D2 (43 ±8) min vs (33 ±7) or (33 ± 8 ) min, respectively , P < 0. 01. There was no significant difference in other indexes revealed . Conclusion: The practice of ETS in 20 cases provided sufficient improvement in treatment of primary hyperhidrosis according to the learning curve.关键词
胸腔镜手术/交感神经切除术/手汗症/学习曲线Key words
Video-assisted thoracoscopic surgery / Sympathectomy/ Primary hyperhidrosis / Learning curve引用本文复制引用
吴伟彬,谷力加,黄邵洪,张健,廖洪映,李昀,蔡松旺,陈惠国,王翠苹,李小军..胸腔镜下交感神经切除术治疗手汗症的学习曲线[J].新医学,2012,43(7):473-475,3.
