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电视胸腔镜治疗原发性手汗症的临床体会 被引量:1

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摘要 目的总结电视胸腔镜(video-assisted thoracoscopic surgery,VATS)下胸交感神经链(T2~T4)切断术治疗原发性手汗症的临床经验。方法回顾分析2005年3月~2009年6月VATS下胸交感神经链切断术治疗12例原发性手汗症的临床资料,均取90°侧卧位固定,腋下两孔入路,应用电凝钩切断T2~T4交感神经干,同期完成对侧手术。结果全部顺利完成VATS交感神经链切断手术,无中转开胸,术后双手立即干燥、红润,双掌皮温升高(0.6~2.8)℃,无术后并发症发生,无死亡病例,随访6~18个月无复发。结论 VATS胸交感神经链切断手术治疗原发性手汗症疗效可靠,具有操作简便、微创、安全、并发症少、符合美容要求等优点,是治疗原发性手汗症的首选方法 ,值得临床推广。
作者 明君 李小明
出处 《齐齐哈尔医学院学报》 2010年第8期1221-1222,共2页 Journal of Qiqihar Medical University
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