Wilson M J, Magee T R, Galland R B, Dehn T C B
Department of General Surgery, Royal Berkshire Hospital, London Road, Reading, Berkshire, RG1 5AN, United Kindgom.
Surg Endosc. 2005 Feb;19(2):254-6. doi: 10.1007/s00464-003-9285-4. Epub 2004 Nov 18.
We examined the results of thoracoscopic sympathectomy (TS) for palmar and axillary hyperhidrosis with respect to operative method, symptom control, patient satisfaction and complications.
We performed a retrospective review of patient records with mail and telephone questionnaire follow-up of 55 patients (15 men) with a median age of 26 years (range, 15-52) who underwent TS between February 1994 and December 2001.
There were no differences in complication rates between those having bilateral TS (n = 23) and those having unilateral procedures (n = 20) with a median follow-up of 21 months (range, 2-94). Forty-three patients returned questionnaires (response rate, 78%). Forty patients (93%) were satisfied with the results. Thirty-four patients (79%) noted compensatory hyperhidrosis and 22 (51%) excessively dry hands.
Despite high rates of compensatory sweating, the majority of patients are very satisfied with the results. The high rate of excessively dry hands is a previously unreported finding and important to discuss when obtaining consent.
我们从手术方法、症状控制、患者满意度及并发症方面，研究了胸腔镜交感神经切除术（TS）治疗手掌和腋窝多汗症的效果。
我们对1994年2月至2001年12月期间接受TS治疗的55例患者（15例男性）的病历进行了回顾性分析，并通过邮件和电话问卷调查进行随访，患者年龄中位数为26岁（范围15 - 52岁）。
双侧TS组（n = 23）和单侧手术组（n = 20）的并发症发生率无差异，中位随访时间为21个月（范围2 - 94个月）。43例患者回复了问卷（回复率78%）。40例患者（93%）对结果满意。34例患者（79%）出现代偿性多汗，22例患者（51%）手部过度干燥。
尽管代偿性出汗发生率较高，但大多数患者对结果非常满意。手部过度干燥发生率较高是一个此前未报告的发现，在获取知情同意时进行讨论很重要。
