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多汗症:医学与外科治疗

Hyperhidrosis: medical and surgical treatment.

作者信息

Stolman Lewis P

机构信息

Department of Dermatology, New York University School of Medicine, New York, NY, USA.

出版信息

Eplasty. 2008 Apr 18;8:e22.

PMID:18488053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2344132/
Abstract

OBJECTIVE

The treatment of hyperhidrosis, generalized or focal is a challenge for both physicians and surgeons. Focal hyperhidrosis--axillary, palmar, plantar, craniofacial--is the most common. Generalized hyperhidrosis is usually secondary to a systemic disorder or may be simply drug induced. Focal hyperhidrosis has its onset in childhood or adolescence and has a dramatic effect on one's quality of life. Medical, surgical, and electrical therapies can be employed to relieve hyperhidrosis in most patients.

METHODS

A review of the medical and surgical literature was performed to identify the usual causes and remedies for hyperhidrosis.

RESULTS

Specific treatments, medical and surgical are recommended for all affected individuals.

CONCLUSION

Patients with hyperhidrosis need not suffer in silence. Etiologies can be identified for most. Safe and effective therapeutic options are available.

摘要

目的

全身性或局灶性多汗症的治疗对医生和外科医生而言都是一项挑战。局灶性多汗症——腋窝、手掌、足底、头面部多汗——最为常见。全身性多汗症通常继发于全身性疾病,或可能仅仅是药物所致。局灶性多汗症在儿童期或青春期发病,对患者的生活质量有显著影响。大多数患者可采用药物、手术及电疗法来缓解多汗症。

方法

对医学和外科文献进行综述,以确定多汗症的常见病因及治疗方法。

结果

建议对所有患病个体采用特定的药物和手术治疗方法。

结论

多汗症患者无需默默忍受。大多数患者的病因能够得以明确。有安全有效的治疗选择可供使用。

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Topically applied botulinum toxin type A for the treatment of primary axillary hyperhidrosis: results of a randomized, blinded, vehicle-controlled study.局部应用A型肉毒杆菌毒素治疗原发性腋窝多汗症:一项随机、双盲、赋形剂对照研究的结果
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Gravimetrically controlled efficacy of subcorial curettage: a prospective study for treatment of axillary hyperhidrosis.皮下刮除术的重量法控制疗效:一项治疗腋窝多汗症的前瞻性研究
Dermatol Surg. 2002 Nov;28(11):1022-6. doi: 10.1046/j.1524-4725.2002.02104.x.
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Efficacy and safety of botulinum toxin type a in the treatment of palmar hyperhidrosis: a double-blind, randomized, placebo-controlled study.A型肉毒杆菌毒素治疗手掌多汗症的疗效和安全性:一项双盲、随机、安慰剂对照研究。
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High-dose botulinum toxin type A therapy for axillary hyperhidrosis markedly prolongs the relapse-free interval.高剂量A型肉毒杆菌毒素治疗腋窝多汗症可显著延长无复发间隔期。
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