胸腔镜下胸交感干并旁路纤维切断术治疗原发性手汗症29例

Twenty-nine cases primary palmar hyperhidrosis treatment by thoracoscopic thoracic sympathetic trunk and kuntz beam cut off

目的:探讨胸腔镜下胸交感干并旁路纤维切断术治疗原发性手汗症的疗效和预防术后并发症的措施。方法:回顾性分析29例原发性手汗症手术,对相关临床资料进行比较分析。结果:全组无手术死亡和严重并发症,术后手掌多汗症状消失,无复发病例,术后有2例出现轻度代偿性出汗,1例出现中度代偿性出汗,无重度代偿性出汗病例。结论:胸腔镜下胸交感干并旁路纤维切断术是治疗原发性手汗症安全有效的微创方法。

Aim：Explore the treatment of primary palmar hyperhidrosis efficacy and prevention of postoperative complications by thoracoscopic thoracic sympathetic trunk and kuntz beam amputation. Methods： Twenty-nine cases of primary palmar hyperhidrosis symptoms underwent surgery and clinical data were analysed. Results： No operative death and serious complications,palm hyperhidrosis symptoms disappeared postoperatively,no recurrence,2 cases of mild compensatory sweating,1 case of moderate compensatory sweating,no severe compensatory sweating cases. Conclusion：Thoracoscopic thoracic sympathetic trunk and kuntz beam amputation is safe and effective minimal invasive method for the treatment of primary palmar hyperhidrosis.