胸腔镜下胸交感神经干切断术治疗小儿手掌、腋窝和足底多汗症  

Thoracoscopic sympathectomy for children with hyperhidrosis

作　　者：涂远荣[1] 李旭[1] 林敏[1] 赖繁彩[1] 陈剑锋[1] 叶建刚[1] 代祖建[1] 

机构地区：[1]福建医科大学附属第一医院胸外科,福州350005

出　　处：《中华小儿外科杂志》2006年第7期353-355,共3页Chinese Journal of Pediatric Surgery

基　　金：福建医科大学科研项目资助(FJGXQ04006)

摘　　要：目的评估胸腔镜下胸交感神经干切断术治疗手掌、腋窝和足底多汗症的有效性和安全性。方法自2003年1月至2005年12月，60例多汗症小儿患者经电视胸腔镜行双侧胸交感神经干切断术。男31例，女29例，平均年龄14．8岁（10-15岁）。术中均用电凝钩烧灼切断胸2或3交感神经干。结果全组60例术后手掌和腋窝多汗症状全部消失，其中45例伴随的足底多汗症状也同时消失，另15例减少，有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小儿手掌、腋窝和足底多汗症最有效的微创治疗手段。Objective To evaluate the efficacy and safety of thoracoscopic sympathectomy for children with primary palmar,axillary and plantar hyperhidrosis. Methods From January 2003 to December 2005,60 children （male 31 and female 29,aged from 10 to 15 years with the mean of 14. 8 years） with palmar, axillary and plantar hyperhidrosis underwent thoracoscopic sympathectomy in this institute. The second or third thoracic sympathetic chains were destroyed by electrocautery. All of patients were followed up. Results No complications were noted in this series. Success rates were palmar 100% （60/60） ,axillary100%（60/60） ,and plantar 75% （45/60） of all patients. Four patients experienced compensatory hyperhidrosis, usually affecting the chest, back, buttocks, and thigh. There was no recurrence of palmar, axillary and plantar hyperhidrosis in these patients during followed-up. Conclusions Thracoscopic sympathectomy is an effective and minimally invasive treatment for children with palmar,axillary and plantar hyperhidrosis.

关 键 词：多汗症 交感神经切断术 

分 类 号：R726.5[医药卫生—儿科]