胸腔镜下手汗症手术方法的改进  

The Improved Operation of Endoscopic Thoracic Sympathectomy (ETS) for Treatment of Palmar Hyperhidrosis

作　　者：滕志华[1] 詹晓洪[1] 孙道华[1] 项信青[1] 楼伟华[1] 楼国梁[1] 

机构地区：[1]浙江省义乌市中心医院心胸外科,322000

出　　处：《医学研究杂志》2008年第7期106-107,共2页Journal of Medical Research

摘　　要：目的探讨改进后胸腔镜下手汗症手术方法的临床效果。方法采用改进胸腔镜下胸交感神经切断术治疗105例手汗症患者,电刀单纯切断第3胸交感神经。结果105例患者术后手汗均消失,腋窝汗明显减少,术后气胸5例。无出血和Horner’s综合征等严重并发症。术后随访1～12个月,15例出现代偿性多汗。结论改进的手术方法具有操作简单、安全有效、创伤小、并发症少等特点,值得临床推广。Objective To explore the clinical effect of the improved operation of endoscopic thoracic sympathectomy （ETS） for treatment of palmar hyperhidrosis. Methods The improved operation of ETS was used to 105 patients with palmar hyperhidrosis. T3 sympathetic was blocked in 105 cases with palmar hyperhidrosis. Results Hand sweating disappeared and axillary sweating discreased significantly in all patients. No one had any serious complications such as bleeding and Homer Syndrome except for five patients with pneumothoraces. Compensatory sweating was found in 15 patients following up from 1 - 12 months after operation. Conclusion The improved operation of ETS is a simple,safe,effective and less complications procedures.

关 键 词：胸腔镜 交感神经切断术 手汗症 

分 类 号：R683.42[医药卫生—骨科学] R758.743[医药卫生—外科学]