安徽医科大学学报Issue(6)：792-794,795,4.
胸腔镜下R4交感神经链联合R3侧枝切断术治疗原发性手汗症
Video-assisted thoracoscopic R4 trunk combined with R3 ramus sympathectomy in the treatment of palmar hyperhidrosis
摘要
Abstract
Objective A prospective randomized study was designed to compare the efficiency and side effects of resection of R4 alone with resection of R4 combined with R3 ramus sympathectomy in the treatment of palmar hy-perhidrosis( PH). The role of the Kuntz fibers in hand sweating was further investigated. Methods 120 consecutive patients with severe PH were randomized into two therapeutic groups. Group A: underwent resection of R4 com-bined with R3 ramus sympathecotomy ( n=60 ) . Group B: underwent resection of R4 sympathectomy ( n=60 ) . Assessment was applied to pre-operatively and 6 months postoperatively. Results 91 patients were followed up (51 cases in group A, 40 cases in group B) at six months postoperatively. Six months postoperatively, 1 case(1. 96%) of moderate sweating hands occurred in group A, compared with 3 cases(7. 5%) in group B;and there were 2 ca-ses(3. 9%) of moderate sweating hands in group A, compared with 5 cases ( 12. 5%) in group B ( P <0. 05 ) . Meanwhile,30 cases(58. 82%) of compensatory sweating occurred in group A, compared with 31 cases(77. 5%) in group B ( P>0. 05 ) . Conclusion The treatment of PH with thoracoscopic sympathectomy under the thoracoscopic is safe, effective with high patient satisfaction. The preventive resection of the R3 ramus based on the R4 sympa-thectomy improves the effect of patient′s palm while not increase incidence of compensatory hyperhidrosis.关键词
手汗症/胸腔镜/交感神经链切断术/代偿性多汗/Kuntz束支Key words
palmar hyperhidrosis/thoracoscopy/sympathectomy/compensatory hyperhidrosis/Kuntz nerve分类
医药卫生引用本文复制引用
李彩伟,朱彦君,李玉华,伍青,吴科,张希东,王桂洪..胸腔镜下R4交感神经链联合R3侧枝切断术治疗原发性手汗症[J].安徽医科大学学报,2014,(6):792-794,795,4.基金项目
首都市民健康项目培育(编号:Z111107067311057) （编号:Z111107067311057）
