胸腔镜下扩大胸交感神经切断术治疗极重度代偿性多汗一例  

Endoscopic expanded sympathotomy for the treatment of extremely severe compensatory hyperhidrosis:A case report

作　　者：涂远荣[1,2] 杜泉[1,2] 陈剑锋[1,2] 林敏[1,2] 冯志 TU Yuanrong;DU Quan;CHEN Jianfeng;LIN Min;FENG Zhi(Department of Thoracic Surgery,The First Affiliated Hospital of Fujian Medical University,Fuzhou,350005,P.R.China;Department of Thoracic Surgery,National Regional Medical Center,Binhai Campus of the First Affiliated Hospital of Fujian Medical University,Fuzhou,350212,P.R.China)

机构地区：[1]福建医科大学附属第一医院胸外科,福州350005 [2]福建医科大学附属第一医院滨海院区国家区域医疗中心胸外科,福州350212

出　　处：《中国胸心血管外科临床杂志》2024年第7期1071-1073,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：福建省财政科研专项经费(2018B008)。

摘　　要：代偿性多汗(compensatory hyperhidrosis,CH)是胸腔镜下胸交感神经切断术(endoscopic thoracic sympathotomy,ETS)治疗手汗症术后最常见的副作用。极重度CH严重干扰患者的生活、工作、学习和社交等日常活动,使患者生活质量大幅降低。防治CH是当前手汗症微创外科亟待解决的热点与难点问题。本文报道1例术后极重度CH 8年的29岁男性患者,2023年12月11日及2024年1月3日于福建医科大学附属第一医院施行分期单侧胸腔镜下R4~R10扩大胸交感神经切断术(expanded sympathotomy,ES),术后随访3个月,患者临床症状及生活质量显著改善,无手汗复发以及其他并发症,疗效满意。Compensatory hyperhidrosis(CH) is a severe side effect that occurs after endoscopic thoracic sympathotomy(ETS) for the treatment of palmar hyperhidrosis.CH significantly interferes with daily activities such as work,study,and social interactions,leading to a substantial decrease in the quality of life for patients.Preventing and treating CH are currently important and challenging issues in minimally invasive surgery for palmar hyperhidrosis.In this report,we presented a 29-year-old male patient who experienced severe CH for 8 years following ETS.The patient underwent staged unilateral endoscopic expanded sympathotomy(ES) at our hospital on December 11,2023 and January3,2024,targeting the R4-R10 levels.After a 3-month follow-up,the patient experienced significant improvement in clinical symptoms and quality of life,with no recurrence of palmar hyperhidrosis or other complications.The treatment outcome was satisfactory.

关 键 词：手汗症 代偿性多汗 扩大胸交感神经切断术 胸腔镜 病例报告 

分 类 号：R655[医药卫生—外科学]