原发性多汗症的针式胸交感神经切除术：中期随访
Needle thoracic sympathectomy for essential hyperhidrosis: intermediate-term follow-up.
作者信息
Lee D Y, Yoon Y H, Shin H K, Kim H K, Hong Y J
机构信息
Respiratory Center, Department of Thoracic and Cardiovascular Surgery, Yongdong Serverance Hospital, Yonsei University College of Medicine, Seoul, Korea.
出版信息
Ann Thorac Surg. 2000 Jan;69(1):251-3. doi: 10.1016/s0003-4975(99)01191-1.
BACKGROUND
Essential hyperhidrosis is a condition with excessive sweating localized to certain part of the body. A definitive cure can be obtained by upper thoracic sympathectomy.
METHOD
Between June and October 1997, 117 patients with essential hyperhidrosis underwent needle thoracoscopic sympathectomy. Of the 94 patients, 42 were men and 52 women. Their ages ranged from 14 to 63 years, with a mean age of 23 years.
RESULTS
There were no mortality or life-threatening complications. Symptomatic improvement was found in 95.7%. Compensatory hyperhidrosis was found in 71.2% of the patients, but in these compensatory hyperhidrosis were mostly tolerable.
CONCLUSIONS
This therapeutic procedure is minimally invasive and very effective. Further development of the new device and surgical technique are expected to follow.
背景
原发性多汗症是一种身体特定部位出汗过多的病症。上胸交感神经切除术可实现根治。
方法
1997年6月至10月期间，117例原发性多汗症患者接受了针式胸腔镜交感神经切除术。94例患者中，男性42例，女性52例。年龄范围为14至63岁，平均年龄23岁。
结果
无死亡病例或危及生命的并发症。95.7%的患者症状得到改善。71.2%的患者出现代偿性多汗，但这些代偿性多汗大多可以耐受。
结论
该治疗方法微创且非常有效。预计新设备和手术技术将进一步发展。
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