针型胸腔镜胸交感神经链切断术治疗手足多汗症(附237例报告)  

Clinical summary of T_(3-4)sympathectomy performed by needle thoracoscopy for primary palmoplantar hyperhidrosis

作　　者：李小军[1] 张健[1] 廖洪映[1] 李昀[1] 谷力加[1] 

机构地区：[1]中山大学岭南医院胸外科,广东广州510630

出　　处：《临床肺科杂志》2014年第10期1792-1794,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨针型胸腔镜T3～4交感神经链切断术治疗手足多汗症的疗效和术后并发症的发生率。方法总结我科收治的237例多汗症病例。全部采用针型胸腔镜胸交感神经链切断术,对其进行随访,分析对手、足多汗的疗效及术后并发症的发生率。结果 237例手术全部成功,术后手多汗症状完全消失或明显缓解,治愈率100%。腋窝多汗及足底多汗缓解率分别为96.9%及77.2%。平均手术时间（38.4±17.3）min,术后平均住院日（3.4±0.7）d。轻-中度代偿性多汗发生率16.5%。无严重并发症。结论针型胸腔镜T3-4交感神经链切断术是治疗手汗症安全、有效、可靠的方法。Objective To study the safety and efficacy of T3 ～ 4sympathectomy by needle thoracoscopy for primary palmoplantar hyperhidrosis. Methods The clinical data of 237 cases,who were performed by needle thoracoscopy T3 ～ 4sympathectomy,were retrospectively analyzed. Results All patients were completed the surgery,and the curative rate was 100%. After the treatment,hyperhidrosis disappeared completely or relieved. The incidence of compensatory sweating was 16. 5%. The remission rate of axillary and plantar sweating was 96. 9% and 77. 2% respectively. The median duration of operation was 38. 4 ± 17. 3 min,and the median duration of hospital stay was 3. 4± 0. 7 days. Conclusion The T3 ～ 4sympathectomy is a reasonable,effective and safe treatment method for palmoplantar hyperhidrosis.

关 键 词：多汗症 胸腔镜 交感神经链切断术 代偿性多汗 

分 类 号：R655[医药卫生—外科学]