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Treating hyperhidrosis. Surgery and botulinum toxin are treatments of choice in severe cases.治疗多汗症。对于严重病例，手术和肉毒杆菌毒素是首选治疗方法。
BMJ. 2000 May 6;320(7244):1221-2. doi: 10.1136/bmj.320.7244.1221.
2
Differences between objective efficacy and perceived efficacy in patients with palmar hyperhidrosis treated with either botulinum toxin or endoscopic thoracic sympathectomy.肉毒杆菌毒素或胸腔镜胸交感神经切断术治疗手掌多汗症患者的客观疗效与感知疗效的差异。
J Eur Acad Dermatol Venereol. 2013 Mar;27(3):e282-8. doi: 10.1111/j.1468-3083.2012.04630.x. Epub 2012 Jul 24.
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Experience with botulinum toxin therapy for axillary hyperhidrosis and comparison to modelled data for endoscopic thoracic sympathectomy - A quality of life and cost effectiveness analysis.肉毒杆菌毒素治疗腋窝多汗症的经验及与内镜胸交感神经切除术模型数据的比较——生活质量与成本效益分析
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Botulinum toxin treatment for a compensatory hyperhidrosis subsequent to an upper thoracic sympathectomy.肉毒杆菌毒素治疗上胸交感神经切除术后的代偿性多汗症。
J Dermatolog Treat. 2002 Jun;13(2):91-3. doi: 10.1080/095466302317584467.
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[Primary hyperhidrosis--an interdiscipline issue. Current therapeutic strategies for treating primary hyperhidrosis].原发性多汗症——一个跨学科问题。原发性多汗症的当前治疗策略
Pol Arch Med Wewn. 2006 Jul;116(1):716-23.
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Current therapeutic strategies for hyperhidrosis: a review.多汗症的当前治疗策略：综述
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Drug Ther Bull. 2005 Oct;43(10):77-80. doi: 10.1136/dtb.2005.431077.
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Superiority of thoracoscopic sympathectomy over medical management for the palmoplantar subset of severe hyperhidrosis.胸腔镜交感神经切除术治疗重度多汗症掌跖型的疗效优于药物治疗。
Ann Vasc Surg. 2009 Jan-Feb;23(1):1-7. doi: 10.1016/j.avsg.2008.04.014. Epub 2008 Jul 10.
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[Usefulness of bilateral sympathectomy using video-assisted thorascopic surgery in the treatment of essential hyperhidrosis].[电视辅助胸腔镜手术双侧交感神经切除术治疗原发性多汗症的疗效]
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Severe compensatory hyperhidrosis following thoracic sympathectomy successfully treated with low doses of botulinum toxin A.胸交感神经切断术后严重代偿性多汗症，用低剂量肉毒毒素 A 治疗成功。
J Dermatolog Treat. 2012 Dec;23(6):457-60. doi: 10.3109/09546634.2011.577404. Epub 2011 Jul 14.

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Hyperhidrosis: an update on prevalence and severity in the United States.多汗症：美国患病率及严重程度的最新情况
Arch Dermatol Res. 2016 Dec;308(10):743-749. doi: 10.1007/s00403-016-1697-9. Epub 2016 Oct 15.
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Surgical treatment of axillary hyperhidrosis by suction-curettage of sweat glands.通过汗腺抽吸刮除术治疗腋窝多汗症。
An Bras Dermatol. 2014 Nov-Dec;89(6):940-54. doi: 10.1590/abd1806-4841.20142873.
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A 15-year-old girl with variable anisocoria.一名患有可变瞳孔不等大的15岁女孩。
Digit J Ophthalmol. 2014 Jan 1;20(1):13-4. doi: 10.5693/djo.03.2013.10.001. eCollection 2014.
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Safety and Efficacy of Micro-focused Ultrasound Plus Visualization for the Treatment of Axillary Hyperhidrosis.微聚焦超声联合可视化治疗腋窝多汗症的安全性和有效性
J Clin Aesthet Dermatol. 2014 Apr;7(4):14-21.
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Thoracic sympathectomy and cardiopulmonary responses to exercise.胸交感神经切除术与运动时的心肺反应。
Eur J Appl Physiol. 2008 Sep;104(1):79-86. doi: 10.1007/s00421-008-0784-9. Epub 2008 Jun 10.
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Botulinum toxin for pain.用于止痛的肉毒杆菌毒素。
Drugs R D. 2008;9(1):11-27. doi: 10.2165/00126839-200809010-00002.
7
Results of thoracoscopic sympathectomy for the treatment of axillary and palmar hyperhidrosis with respect to compensatory hyperhidrosis and dry hands.胸腔镜交感神经切除术治疗腋窝和手掌多汗症的代偿性多汗症和手部干燥情况的结果
Surg Endosc. 2005 Feb;19(2):254-6. doi: 10.1007/s00464-003-9285-4. Epub 2004 Nov 18.
8
Treating hyperhidrosis. Excision of axillary tissue may be more effective.治疗多汗症。切除腋窝组织可能更有效。
BMJ. 2000 Sep 16;321(7262):702; author reply 703.

本文引用的文献

1
The sympathetic nerve supply of the upper limb in relation to sympathectomy.与交感神经切除术相关的上肢交感神经供应
Ann R Coll Surg Engl. 1954 Apr;14(4):247-66.
2
The results of thoracoscopic sympathetic trunk transection for palmar hyperhidrosis and sympathetic ganglionectomy for axillary hyperhidrosis.胸腔镜下交感神经干切断术治疗掌部多汗症及交感神经节切除术治疗腋窝多汗症的结果。
Eur J Vasc Endovasc Surg. 1999 Apr;17(4):343-6. doi: 10.1053/ejvs.1998.0783.
3
Complications of endoscopic sympathectomy.
Eur J Surg Suppl. 1998(580):33-5. doi: 10.1080/11024159850191111.
4
The Borås experience of endoscopic thoracic sympathicotomy for palmar, axillary, facial hyperhidrosis and facial blushing.博拉斯内镜胸交感神经切断术治疗手掌、腋窝、面部多汗症及面部潮红的经验。
Eur J Surg Suppl. 1998(580):23-6. doi: 10.1080/11024159850191094.
5
Focal hyperhidrosis: effective treatment with intracutaneous botulinum toxin.
Arch Dermatol. 1998 Mar;134(3):301-4. doi: 10.1001/archderm.134.3.301.
6
Botulinum toxin therapy for palmar hyperhidrosis.
J Am Acad Dermatol. 1998 Feb;38(2 Pt 1):227-9. doi: 10.1016/s0190-9622(98)70242-7.
7
Botulinum toxin--a possible new treatment for axillary hyperhidrosis.肉毒杆菌毒素——一种治疗腋窝多汗症的可能新疗法。
Clin Exp Dermatol. 1996 Jul;21(4):276-8. doi: 10.1111/j.1365-2230.1996.tb00093.x.
8
Thoracoscopic sympathectomy.胸腔镜交感神经切除术
Eur J Vasc Surg. 1994 May;8(3):247-8. doi: 10.1016/s0950-821x(05)80137-9.
9
Target determination of neurotransmitter phenotype in sympathetic neurons.交感神经元中神经递质表型的靶点确定
J Neurobiol. 1994 Jun;25(6):620-39. doi: 10.1002/neu.480250605.
10
Characterization of the inhibitory action of botulinum neurotoxin type A on the release of several transmitters from rat cerebrocortical synaptosomes.A型肉毒杆菌神经毒素对大鼠大脑皮质突触体中几种神经递质释放的抑制作用特性
J Neurochem. 1988 Jun;50(6):1808-16. doi: 10.1111/j.1471-4159.1988.tb02482.x.

Treating hyperhidrosis. Surgery and botulinum toxin are treatments of choice in severe cases.

作者信息

Collin J, Whatling P

出版信息

BMJ. 2000 May 6;320(7244):1221-2. doi: 10.1136/bmj.320.7244.1221.

DOI:10.1136/bmj.320.7244.1221
PMID:10797017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1117980/
Abstract
摘要