采用单腔插管单孔法在胸腔镜治疗手汗症开展T4交感神经离断术中的效果分析  

Effect analysis of T4 sympathetic nerve disarticulation by single cavity intubation single-hole method under thoracoscope in the treatment of palmar hyperhidrosis

作　　者：谢汉清 黄钻明 胡寿祥 

机构地区：[1]广东茂名市中医院胸外科,525000

出　　处：《中国实用医药》2017年第11期39-41,共3页China Practical Medicine

摘　　要：目的探讨单腔插管单孔法在胸腔镜治疗手汗症开展T4交感神经离断术中治疗效果。方法 67例手汗症患者为研究对照,根据患者手术方式分为A组(37例)和B组(30例)。A组患者采用单腔插管单孔胸腔镜T4交感神经离断术,B组患者采用双孔胸腔镜下T4交感神经离断术.比较两组患者手术时间、术中出血量、术后疼痛、住院时间及并发症发生情况。结果 A组患者术中出血量为(11.6±3.1)ml、术后24 h疼痛评分为(2.8±0.9)分、住院时间为(1.9±0.6)d,优于B组的(19.7±5.7)ml、(3.9±1.0)分、(2.8±0.8)d,差异有统计学意义(P<0.05)。两组患者手术时间比较,差异无统计学意义(P>0.05)。A组患者感染、气胸、出血并发症发生率均低于B组,差异有统计学意义(P<0.05);两组患者术后复发率比较差异无统计学意义(P>0.05)。结论单腔插管单孔胸腔镜下T4离断术治疗手汗症可有效减轻患者手术创伤、手术痛苦,促进患者术后康复,具有显著临床疗效。Objective To explore the treatment effect of T4 sympathetic nerve disarticulation by single cavity intubation single-hole method under thoracoscope in the treatment of palmar hyperhidrosis. Methods A total of 67 palmar hyperhidrosis patients for comparative study were divided by different operation methods into group A （37 cases） and group B （30 cases）. Group A received T4 sympathetic nerve disarticulation by single cavity intubation single-hole method under thoracoscope, and group B received T4 sympathetic nerve disarticulation under double-hole thoracoscope. Comparison were made on operation time, intraoperative bleeding volume, postoperative pain, hospital saty time and occurrence of complications in two groups. Results Group A had intraoperative bleeding volume as （11.6 ± 3.1） ml, pain score in postoperative 24 h as （2.8 ± 0.9） points and hospital stay time as （1.9 ±0.6） d, which were all better than （19.7 ± 5.7） ml, （3.9 ± 1.0） points and （2.8± 0.8） d in group B, and their difference had statistical significance （P〈0.05）. Both groups had no statistically significant difference in operation time （P〉0.05）. Group A had lower incidence of infection, pneumothorax and bleeding complications than group B, and the difference had statistical significance （P〈0.05）. Both groups had no statistically significant difference in postoperative occurrence rate （P〉0.05）. Conclusion T4 sympathetic nerve disarticulation under thoracoscopie single cavity intubation single-hole can effectively relieve surgical trauma and surgical pain of palmar hyperhidrosis patients, promote their postoperative rehabilitation. So it has significant clinical curative effect.

关 键 词：单孔单腔插管 胸腔镜 T4交感神经离断术 手汗症 

分 类 号：R655[医药卫生—外科学]