胸腔镜下胸交感神经干切断术治疗手掌、腋窝和足底多汗症  

Thoracoscopic sympathectomy for primary palmar,axillary and feet hyperhidrosis

作　　者：涂远荣[1] 李旭[1] 林敏[1] 赖繁彩[1] 代元大[2] 林建清[2] 

机构地区：[1]福建医科大学附属第一医院胸外科,福建福州350005 [2]福建医科大学附属第一医院麻醉科,福建福州350005

出　　处：《中国基层医药》2004年第10期1179-1180,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　评估胸腔镜下胸交感神经干切断术治疗手、腋窝和足多汗症的有效性和安全性。方法　自 2 0 0 3年 1月至 10月 ,4 0例多汗症患者经电视胸腔镜行双侧胸交感神经干切断术。男 2 1例 ,女 19例 ,平均年龄 2 3 8岁 ( 10～ 5 3岁 )。术中均用电凝钩烧灼切断胸 2～ 4交感神经干。结果　全组 4 0例术后手和腋窝多汗症状全部消失 ,其中 35例伴随的足底多汗症状也同时消失 ,另 5例减少 ,4例出现转移代偿性多汗。全组无手术死亡和严重并发症。结论　胸腔镜下交感神经干切断术是治疗手。Objective The aim of this study was to evaluate the efficacy and safety of thoracoscopic sympathectomies for primary palmar,axillary and feet hyperhidrosis.Methods From January 2003 to October 2003,40 thoracoscopic sympathectomies were performed.There were 21 males and 19 females with a mean age of 23.8 years(from 10 to 53 years).The second to fourth thoracic sympathetic chain were destroyed by electrocautery.Results The symptoms disappeared completely in all patients immediately after the operation.In all 40 patients had a satisfactory results,without recurrence of palmar,axillary and feet hyperhidrosis.Conclusion Thracoscopic sympathectomy is the most effective and minimally invasive treatment for palmar,axillaryt and fee hyperhidrosis.

关 键 词：治疗 交感神经 多汗症 腋窝 切断术 胸腔镜 足底 结论 手段 手掌 

分 类 号：R655[医药卫生—外科学]