Gooi B H, Manjit S, Premnath N
Department of Surgery, Penang Hospital, 10990, Penang.
Med J Malaysia. 2002 Mar;57(1):66-9.
Primary palmar hyperhidrosis is a functionally and socially disabling condition. The choice of treatment is controversial.
To examine the clinical presentation of primary palmar hyperhidrosis and the results of treatment with thoracoscopic sympathectomy in a local setting.
A retrospective study of 7 patients involving 10 sympathectomies between October 1997 and October 2000 was undertaken.
The duration of anaesthesia ranged from 55 to 130 minutes with the majority being 1 hour. The immediate results were good, with all operated limbs dry soon after operation. There was no mortality or serious morbidity in this study. All were satisfied with the results of surgery.
Primary palmar hyperhidrosis is not uncommon but rather underdiagnosed. Thoracoscopic sympathectomy is an effective treatment with minimal complications.
原发性手掌多汗症是一种在功能和社交方面会造成障碍的病症。治疗方法的选择存在争议。
在本地环境中研究原发性手掌多汗症的临床表现以及胸腔镜交感神经切除术的治疗效果。
对1997年10月至2000年10月期间7例患者实施的10次交感神经切除术进行回顾性研究。
麻醉时间从55分钟至130分钟不等，大多数为1小时。即刻效果良好，所有手术肢体术后很快变干。本研究中无死亡病例或严重并发症。所有人对手术结果都很满意。
原发性手掌多汗症并不罕见，而是诊断不足。胸腔镜交感神经切除术是一种并发症极少的有效治疗方法。
