浙江医学2017，Vol.39Issue(11)：908-910,921,4.DOI:10.12056/j.issn.1006-2785.2017.39.11.2017-388
胸腔镜治疗手汗症:先左侧还是先右侧?
Bilateral endoscopic thoracic sympathectomy in treatment of palmar hyperhidrosis： left first or right first?
周冰 1梅富杨 1孙高忠 1许林海1
作者信息
- 1. 310014 杭州,浙江省人民医院心胸外科
- 折叠
摘要
Abstract
Objective To investigate the sequence of performing bilateral endoscopic thoracic sympathectomy (ETS) in treatment of palmar hyperhidrosis.Methods One hundred and eight patients with palmar hyperhidrosis undergoing bilateral ETS in our hospital were enrolled in this study.Patients were randomly divided into two groups:54 patients received left ETS first,followed by the right (group L),and another 54 patients received right ETS first,followed by the left (n=54).The perioperative hemodynamic changes were compared between the two groups;and the clinic effects and the quality of life of patients were evaluated one year after the operation.Results The bilateral ETS were performed smoothly,and the clinical effects were satisfactory in both groups.There were no significant differences in perioperative blood pressure,heart rate,corrected Q waves and T waves interval (QTc) in ECG,and heart rate variability (HRV) between the two groups.The patients were followed up period for 12 ±2 months;no differences were found in quality of life between the two groups and also no disease relapse,severe arrhythmia and death were reported.Conclusion ETS is a safe,effective,minimally invasive treatment for palmar hyperhidrosis.The sequence of performing left or right ETS first makes no significant difference on the clinical outcomes.关键词
胸腔镜/手汗症/胸交感神经切断术/生活质量Key words
Thoracoscopy/Palmarhyperhidrosis/Endoscopic thoracic sympathicotomy/Quality of life引用本文复制引用
周冰,梅富杨,孙高忠,许林海..胸腔镜治疗手汗症:先左侧还是先右侧?[J].浙江医学,2017,39(11):908-910,921,4.
