胸腔镜下手汗症治疗方法的改进与应用

Clinical effect of the improved operation of endoscopic thoracic sympathectomy for treatment of palmar hyperhidrosis

目的 探讨改进后胸腔镜下手汗症治疗方法的临床效果。方法 采用改进胸腔镜下胸交感神经切断术治疗 30例手汗症患者 ,其中电刀切断交感神经 2 7例 ,钛夹钳夹 3例 ;单纯切断第 2交感神经 11例 ,切断或钳夹第 2、3交感神经 19例。结果 30例患者术后手汗均消失 ,腋窝汗明显减少 ,无气胸、出血及 Horner` s综合征等严重并发症。术后随访 1～ 9个月 ,2例出现较严重代偿性多汗。结论 改进的手术方法具有操作简单、安全有效、创伤小、并发症少等特点 ,值得临床推广。

Objective To explore the clinical effect of the improved operation of endoscopic thoracic sympathectomy(ETS) for treatment of palmar hyperhidrosis.Methods The improved operation of ETS was used to 30 patients with palmar hyperhidrosis.T 2-sympathetic was blocked in 11 cases with palmar hyperhidrosis,and T 2~T 3-sympathetic were blocked in 19 cases with palmar and axillary hyperhidrosis.27 patients undergoing cauterization and 3 patients treated with a clamping procedure.Results Hand sweating disappeared and axillary sweating discreased significantly in all patients.No one had any serious complications such as pneumothoraces,bleeding and Horner Syndrome.Serious compensatory sweating was found in 2 patients following up from 1~9 months after operation.Conclusion The improved operation of ETS is a simple,safe,effective and less complications procedures.