胸腔镜下胸交感神经链切断术治疗手汗症22例疗效观察

Effect observation of thoracoscopic thoracic sympathectomy on treatment of 22 patients with palmar hyperhidrosis

目的总结本科开展胸腔镜下胸交感神经链切断术治疗手汗症的经验体会。方法回顾分析22例手汗症患者资料。结果 22例手术均顺利,患者术后掌温升高(2.1±1.1)℃,症状均明显缓解或消失。全组平均手术时间(61.1±18.1)min,平均住院时间(7.4±2.6)d。围术期有2例出现代偿性多汗,均于6个月内缓解。结论胸腔镜下胸交感神经链切断术治疗手汗症临床有效可行。

Objective To summarize the therapeutic experience of thoracoscopic thoracic sympathectomy in treatment of 22 patients with palmar hyperhidrosis.Methods Clinical materials of 22 patients with palmar hyperhidrosis were analyzed retrospectively.Results Totally 22 patients completed surgery successfully.After the operation,the palmar temperature increased with （2.1 ± 1.1）℃,and symptoms relieved or disappeared.The mean operating time was （61.1 ± 18.1） min,and the average hospital stay was （7.4 ± 2.6） d.There were 2 cases of compensatory hyperhidrosis during the perioperative period,and all of them were relieved within 6 months.Conclusion Thoracoscopic thoracic sympathectomy is effective in treatment of patients with palmar hyperhidrosis.