胸腔镜下T_(2-4)交感神经链切断术治疗手足多汗症的疗效观察

Observation of thoracoscopic T_(2-4) sympathectomy for palmar and foot hyperhidrosis

目的:探讨21例手足多汗症患者行胸腔镜下T2-4交感神经链切断术的疗效。方法:21例患者均在胸腔镜下行双侧T2-4交感神经链切断术,术中监测双手掌、双足体温变化,术后随访、评价手足多汗消失情况。结果:21例患者术后手汗均消失,19例足汗消失,2例减轻。4例术后出现代偿性多汗。结论:胸腔镜下T2-4交感神经链切断术是治疗手足多汗症的有效手段。

Objective：To evaluate the efficacy of thoracoscopic T2～4sympathectomy for palmar and foot hyperhidrosis. Methods： Bilateral thorascopic T2～4 sympathectomy were performed in 21 cases. Palmar and foot skin temperature were monitored simultaneously during operation and the efficacy was evaluated after operation. Results：The sympotoms vanished in all 21 cases of palmar hyperhidrosis and in 19 cases of foot hyperhidrosis, while two cases decreased. Compensatory hyperhidrosis were found in 4 cases. Conclusions：Thoracoscopic T2～4 sympathectomy is an effective method to treat palmar and foot hyperhidrosis.