摘要
目的总结胸腔镜胸交感神经干切断术200例的临床经验.方法分析2003年1月～2005年4月经胸腔镜胸交感神经干T2～T4切断术治疗手汗症的临床资料.结果200例手术均获成功,术后患者手掌多汗症状消失,双手转为干燥温暖状,术后掌温升高(3.1±0.9)℃;192例术后随访1～28个月,平均18.4月,无一例复发,术后转移代偿性多汗52例(27.1%).结论胸交感神经干切断术是治疗手汗症安全、微创和有效的方法.
Objective To summarize the experience of 200 cases of endoscopic thoracic sympathectomy （ETS）. Methods Clinical materials of T2 - T4 sympathectomy under thoracoscope for treating palmar hyperhidrosis from January 2003 to April 2005 were analysed. Results All the 200 cases of operation were successfully completed. Symptoms of hyperhidrosis vanished with both hands dry and warm in all the patients. Plamar temperature increased by a mean of （ 3. 1± 0. 9） ℃ after operation. Follow - up observations in 192 cases for 1 -28 months （mean, 18.4 months） found no recurrence. Compensatory hyperhidrosis was found in 52 cases （27.1% ）. Conclusions Endoscopic thoracic sympathectomy is a safe, effective, and micro - invasive treatment for palmar hyperhidrosis.
出处
《中国微创外科杂志》
CSCD
2005年第12期993-994,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
胸腔镜
胸交感神经
手汗症
Thoracoscope
Sympathetic nerve
Palmar hyperhidrosis
