微创交感神经切除术的应用现状  被引量:3

Current status of sympathectomy

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作  者:史靖涵 蔡健 谢冬[1] 姜格宁[1] 

机构地区:[1]同济大学附属上海市肺科医院胸外科,200433

出  处:《中华胸心血管外科杂志》2018年第2期125-128,共4页Chinese Journal of Thoracic and Cardiovascular Surgery

摘  要:交感神经发出节后纤维支配机体汗腺分泌、血管收缩及痛觉传递等活动,阻断以上活动可治疗一些疾病。交感神经切除术主要应用于原发性多汗症、外周血管疾病(血栓性脉管炎、雷诺病)、长QT综合征以及难治性腹痛的治疗,胸腔镜交感神经切除术当前是主流术式。在保证疗效的前提下,切除范围的合理选择可减少术后代偿性多汗的发生。原发性多汗症是该术的最佳适应证,临床开展广泛。对于外周血管疾病、长QT综合征和难治性腹痛,保守治疗无效或禁忌时,需考虑行手术治疗。交感神经切除术今后将日臻微创化,提高患者生活质量。The postganglionic fibers arising from sympathetic nervous system dominate some activities in human body, such as secretion of sweat glands, vasoconstriction and pain transmission. While block its transmission can treat some certain diseases. Now sympathectomy is mainly applied in treating primary byperhidrosis, peripheral artery disease(thromboangiitis ob- literan, Raynaud' s diseases), long Q-T syndrome, and intractable abdominal pain, and video-assisted surgery is the main- stream. Basing on the ensurement of efficacy, reasonable extension of resection range can reduce the incidence of compensatory hyperhidrosis. Primary hyperhidrosis , which applying widely, is the best indication for this sympathectomy. For peripheral ar- tery disease ( thromboangiitis obliteran, Raynaud' s diseases), long Q-T syndrome, and intractable abdominal pain, sympathec- tomy should be taken into consideration when drug treatment fails or taboos. Sympathectomy will become more minimally inva- sire as well as improve living quality for patients in the future.

关 键 词:胸腔镜交感神经切除术 微创化 应用 外周血管疾病 原发性多汗症 长QT综合征 血栓性脉管炎 保守治疗 

分 类 号:R655[医药卫生—外科学]

 

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