[电视胸腔镜技术行胸交感神经切除术]
[Thoracic sympathectomy performed by videothoracoscopic technique].
作者信息
Kordiak Jacek, Brocki Marian, Jabłoński Sławomir, Bella Mariusz, Kutwin Leszek, Gruda Robert, Kowalska Barbara, Terlecki Artur, Wawrzycki Marcin
机构信息
Klinika Chirurgii Ogólnej i Torakochirurgii UM w Lodzi.
出版信息
Pol Merkur Lekarski. 2004;17 Suppl 1:93-4.
UNLABELLED
Thoracic sympathectomy is a method for a segmental elimination of functions of the sympathetic system by the excision of its Th2-Th3 ganglia. The procedure can be performed both using open and videoscopic technique.
OBJECTIVE
The purpose of the study was the evaluation of efficacy of videoscopic thoracic sympathectomy.
MATERIAL AND METHOD
From 1993 to 2003 we performed 53 videoscopic thoracic sympathectomies in patients with Raynaud's syndrome and upper limb hyperhidrosis.
RESULTS
In all patients that underwent thoracic sympathectomy we obtained a positive reaction to a segmental excision of the sympathetic trunk. Patients with Raynaud's showed a significant improvement in symptoms in 76% of cases after a 4-year observation while patients with hyperhidrosis in 100%. The time of hospitalisation was 3.5 days in average. Postoperative complications were observed in two patients (3.7%). Videoscopic thoracic sympathectomy provides good therapeutic and cosmetic results and deserves more common use compared with open technique.
未标注
胸交感神经切除术是一种通过切除胸2 - 胸3神经节来节段性消除交感神经系统功能的方法。该手术既可以采用开放技术，也可以采用电视胸腔镜技术进行。
目的
本研究的目的是评估电视胸腔镜胸交感神经切除术的疗效。
材料与方法
1993年至2003年，我们对患有雷诺综合征和上肢多汗症的患者进行了53例电视胸腔镜胸交感神经切除术。
结果
在所有接受胸交感神经切除术的患者中，我们对交感干的节段性切除均获得了阳性反应。经过4年观察，雷诺综合征患者76%的症状有显著改善，多汗症患者则为100%。平均住院时间为3.5天。两名患者（3.7%）出现术后并发症。与开放技术相比，电视胸腔镜胸交感神经切除术具有良好的治疗和美容效果，值得更广泛应用。
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