[不同节段交感神经切除术治疗手掌多汗症的疗效比较]

[Comparison of curative effects of sympathectomy at different segments on palmar hyperhidrosis].

作者信息

Lin Min, Tu Yuan-rong, Li Xu, Lai Fan-cai, Chen Jian-feng, Dai Zu-jian

机构信息

Department of Thoracic Surgery, First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2006 Sep 5;86(33):2315-7.

PMID:17156624

Abstract

OBJECTIVE

To compare the curative effects of sympathectomy at different segments on palmar hyperhidrosis.

METHODS

Four hundred patients with palmar hyperhidrosis, 191 males and 209 females, aged 21.9 +/- 3.4 (10 - 53), underwent bilateral sympathectomy However, bilateral sympathectomy was forced to be given up and replaced by unilateral sympathectomy in 2 patients because of severe pleural adhesion The 398 patients on which bilateral sympathectomy was successfully performed were randomly divided into 3 groups: Group A (n = 207) undergoing T2-4 sympathectomy, Group B (n = 131) undergoing T3 sympathectomy, and Group C (n = 60) undergoing T3-4 sympathectomy. The curative effects were compared.

RESULTS

Operation was successfully performed on all patients and their palmar hyperhidrosis was completely alleviated after operation. No surgery-related post-operative complication occurred. The compensatory hyperhidrosis (CH) rate of Group B was 5.3%, not significantly different from that of Group C (6.7%, P > 0.05). The CH rate of the combined group, Group B + C was 5.8%, significantly lower than that of Group A (28.0%, P < 0.01).

CONCLUSION

Safe and mini-invasive, T3 or T3-4 sympathectomy effectively reduce the development of CH and improves the patients' quality of life post-operatively.

摘要

目的

比较不同节段交感神经切除术治疗手掌多汗症的疗效。

方法

400例手掌多汗症患者，男191例，女209例，年龄21.9±3.4（10 - 53）岁，均接受双侧交感神经切除术。然而，2例患者因严重胸膜粘连被迫放弃双侧交感神经切除术，改为单侧交感神经切除术。成功实施双侧交感神经切除术的398例患者随机分为3组：A组（n = 207）行T2 - 4交感神经切除术，B组（n = 131）行T3交感神经切除术，C组（n = 60）行T3 - 4交感神经切除术。比较疗效。