腋下单孔交感链切断术治疗手汗症  

Transaxillary uniportal thoracoscopic sympathectomy in treatment of palmar hyperhidrosis

作　　者：徐沁孜[1] 孙威[1] 付向宁[1] 汤应雄[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院普胸外科,武汉430030

出　　处：《临床外科杂志》2011年第8期558-559,共2页Journal of Clinical Surgery

摘　　要：目的探讨胸腔镜经腋下单孔T3、T4交感神经链切断术治疗手汗症的治疗效果和技术要点。方法2008年5月至2010年8月采用胸腔镜经腋下单孔T3、T4交感神经链切断术治疗手汗症患者36例，通过分析临床指标，评价该术式的有效性、安全性。结果均通过腋下单孔完成手术，无延长及增加切口者。术后单侧气胸1例，无Homer’s综合征及其他严重并发症。36例手汗症状均完全缓解，轻度代偿性多汗13例（36．1％），中度2例（5．56％），无重度代偿性多汗。结论胸腔镜经腋下单孔T3、T4交感链切断术治疗手汗症是一种安全、有效、微创的手术方式。Objective To discuss the clinical efficacy, complications and technical points of transaxillary uniportal T3 ,T4 thoracoscopic sympathectomy in the treatment of palmar hyperhidrosis, nethads The clinical data of 16 patients, who underwent transaxillary uniportal T3, T4 thoracoscopy sympathectomy from May 2008 to March 2010 ,were studied to assess the efficacy and safety of this procedure. Results The transaxillary uniportal thoracoscopy sypathectomy was performed uneventfully in all patients. No extended or extra incisions were done. One had unilateral pneumothorax postoperatively. Symptoms of palmar hyperhidrosis of all 16 patients were totally relieved with no Homer＇ s syndrome or other severe complications. Mild compensatory sweating appeared in 13 （36. 1% ）, moderate in 2 （5.56%）, and severe in none. Conclusion Transaxillary uniportal T3, T4 thoracoscopic sympathectomy is a safe, effective, minimally invasive procedure in the treatment of palmar hyperhidrosis.

关 键 词：交感神经链切断术 手汗症 胸腔镜 

分 类 号：R735.905[医药卫生—肿瘤]