经腋窝隐痕单切口胸腔镜下胸交感神经切断术治疗手汗症的临床效果探讨  

Clinical Effect of Sympathectomy via Axillary Hidden Mark Single Incision with Thoracoscope in the Treatment of Palmar Hyperhidrosis

作　　者：张骥[1] 

机构地区：[1]常德市第一人民医院胸心外科,湖南常德415000

出　　处：《中外医疗》2016年第3期45-47,共3页China & Foreign Medical Treatment

摘　　要：目的探讨分析经腋窝隐痕单切口胸腔镜下胸交感神经切断术治疗手汗症的临床效果。方法整群选取2013年1月—2014年12月该院手术的62例手汗症患者的临床资料进行分析,随机分为A组与B组,每组31例。A组患者行经腋窝隐痕单切口胸腔镜下胸交感神经切断术治疗,B组患者行常规胸腔镜下胸交感神经切断术治疗,观察两组患者的手术时间、切口出血量、切口感染率及治疗有效率。结果 A组患者手术时间(4.0±1.2)min、切口出血量(45.1±12.0)m L少于B组患者手术时间(5.8±1.4)min,切口出血量(55.2±21.1)m L,A组切口感染率0%及治疗有效率100%优于B组感染率9.7%及治疗有效率90.3%,两组相比,差异具有统计学意义(P<0.05)。结论对手汗症患者行经腋窝隐痕单切口胸腔镜下胸交感神经切断术治疗,具有创伤小、痛苦少、疗效好的优势,值得临床应用推广。Objective To observe and analyze the clinical effect of sympathectomy via axillary hidden mark single incision with thoracoscope in the treatment of palmar hyperhidrosis. Methods An analysis was conducted on the clinical data of 62 cases with palmar hyperhidrosis underwent surgery in our hospital from January 2013 to December 2014. The patients were randomly divided into group A and group B with 31 cases in each. Patients in group A underwent sympathectomy via axillary hidden mark single incision with thoracoscope, while those in group B underwent the conventional sympathectomy with thoracoscope. The duration of procedure, incision hemorrhage, wound infection rate and treatment efficiency of the two groups were observed. Results Compared with group B, group A had shorter duration of procedure[（4.0±1.2）min vs（5.8±1.4）min], less incision hemorrhage [（45.1±12.0） m L vs（55.2±21.1） m L], lower wound infection rate（0% vs 9.7%） and higher treatment efficiency（100% vs 90.3%） with statistically significant differences（P〈0.05）. Conclusion For patients with palmar hyperhidrosis, sympathectomy via axillary hidden mark single incision with thoracoscope has such advantages as smaller trauma, less pain and better curative effect, so it is worthy of clinical application and promotion.

关 键 词：腋窝隐痕单切口 胸腔镜 交感神经切断术 手汗症 

分 类 号：R655[医药卫生—外科学]