胸腔镜双侧腋下单切口胸交感神经链切断术治疗手汗症  

Bilateral Endoscopic Thoracic Sympathectomy through Single Hole for Palmar Hyperhidrosis

作　　者：任福强[1,2] 仇滔[1,2] 芮军[1,2] 张志国[1,2] 杨懿[1,2] 牟云飞[1,2] 黄鑫[1,2] 

机构地区：[1]重庆医科大学附属成都第二临床医学院 [2]成都市第三人民医院胸外科,成都610031

出　　处：《中国胸心血管外科临床杂志》2015年第1期54-56,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：目的观察胸腔镜双侧腋下单切口胸交感神经链切断术治疗原发性手汗症的可行性和疗效。方法成都市第三人民医院胸外科自2012年8月至2013年4月收治手汗症患者19例,其中男7例、女12例,年龄24.7（15~33）岁,全组均在全身麻醉气管内插管、胸腔镜下行双侧胸交感神经链切断术治疗原发性手汗症。结果全组均顺利完成手术,平均手术时间28.4 min,术后平均住院时间1.6 d。术后随访17例,随访时间2~10个月,所有患者手部多汗症状全部消失,无霍纳综合征和血气胸等并发症。结论胸腔镜双侧腋下单切口胸交感神经链切断术治疗原发性手汗症创伤小、并发症少、安全可靠。Objective To investigate the feasibility and clinical outcomes of bilateral endoscopic thoracic sympathectomy（ETS） through single hole for palmar hyperhidrosis（PHH）. Methods From August 2012 to April 2013, 19 PHH patients were admitted in the Department of Thoracic Surgery, The Third People＇s Hospital of Chengdu. There were 7 male and 12 female patients with their age of 24.7（15-33） years. All the patients underwent bilateral ETS through single hole under general anesthesia. Results All the operations were successfully performed. Average operation time was 28.4 minutes, and postoperative hospital stay was 1.6 days. Seventeen patients were followed up for 2 to 10 months. PHH symptoms all disappeared without Horner＇s syndrome or hemopneumothorax. Conclusion Bilateral ETS through single hole is a minimally invasive, reliable and safe procedure for PHH with low morbidity.

关 键 词：手汗症 胸交感神经链切断术 胸腔镜 

分 类 号：R651.3[医药卫生—外科学]