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内镜下胸交感神经切除术:手术应在哪个节段进行?

Endoscopic thoracic sympathectomy: at what level should you perform surgery?

作者信息

Weksler Benny, Luketich James D, Shende Manisha R

机构信息

Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite C-800, Pittsburgh, PA 15213, USA.

出版信息

Thorac Surg Clin. 2008 May;18(2):183-91. doi: 10.1016/j.thorsurg.2008.01.006.

DOI:10.1016/j.thorsurg.2008.01.006
PMID:18557591
Abstract

Several interventions are possible on the sympathetic chain and the nomenclature has been confusing. The authors propose a uniform nomenclature for each procedure, mainly, sympathectomy for resection or ablation of the ganglion, sympathicotomy for the transaction of the chain, ramicotomy for the procedure preserving the chain and ganglia and severing the rami, and finally, sympathetic block for clipping above and below the ganglia. They recommend intervention on the T2 ganglia for facial hyperhidrosis and rubor, on the T3 ganglia for palmar hyperhidrosis, and on the T3 and T4 ganglia for axillary hyperhidrosis.

摘要

对交感神经链可采取多种干预措施,且命名一直很混乱。作者为每个手术提出了统一的命名,主要包括:切除或消融神经节的交感神经切除术;切断交感神经链的交感神经切断术;保留神经链和神经节并切断分支的分支切断术;最后是夹闭神经节上下方的交感神经阻滞术。他们建议,对于面部多汗症和面部潮红,干预T2神经节;对于手掌多汗症,干预T3神经节;对于腋窝多汗症,干预T3和T4神经节。

相似文献

1
Endoscopic thoracic sympathectomy: at what level should you perform surgery?内镜下胸交感神经切除术:手术应在哪个节段进行?
Thorac Surg Clin. 2008 May;18(2):183-91. doi: 10.1016/j.thorsurg.2008.01.006.
2
Surgical approaches and techniques in the management of severe hyperhidrosis.
Thorac Surg Clin. 2008 May;18(2):167-81. doi: 10.1016/j.thorsurg.2008.01.005.
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[Surgical technique of endoscopic transthoracic sympathicotomy: axillary approach].
Kyobu Geka. 1998 Mar;51(3):206-9.
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Uniportal endoscopic thoracic sympathectomy for treatment of palmar and axillary hyperhidrosis: analysis of 2000 cases.单孔胸腔镜胸交感神经切除术治疗手掌及腋窝多汗症:2000例分析
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Pitfalls and complication avoidance associated with transthoracic endoscopic sympathectomy for primary hyperhidrosis (analysis of 2200 cases).原发性多汗症经胸交感神经链切断术的陷阱与并发症防治(附2200例分析)
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Endoscopic thoracic sympathectomy for palmar hyperhidrosis: efficacy of T2 and T3 ganglion resection.内镜下胸交感神经切除术治疗手掌多汗症:T2和T3神经节切除术的疗效
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[Usefulness of bilateral sympathectomy using video-assisted thorascopic surgery in the treatment of essential hyperhidrosis].[电视辅助胸腔镜手术双侧交感神经切除术治疗原发性多汗症的疗效]
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引用本文的文献

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Changes in electrodermal activity following sympathicotomy in hyperhidrosis patients.多汗症患者交感神经切断术后皮肤电活动的变化。
Front Surg. 2024 Mar 11;11:1358357. doi: 10.3389/fsurg.2024.1358357. eCollection 2024.
2
Minimally Invasive Sympathicotomy for Palmar Hyperhidrosis and Facial Blushing: Current Status and the Hyperhidrosis Expert Center Approach.用于手掌多汗症和面部潮红的微创交感神经切断术:现状与多汗症专家中心的方法
J Clin Med. 2022 Jan 31;11(3):786. doi: 10.3390/jcm11030786.
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Comparisons of the clinical outcomes of thoracoscopic sympathetic surgery for palmar hyperhidrosis: R4 sympathicotomy versus R4 sympathetic clipping versus R3 sympathetic clipping.
胸腔镜下交感神经手术治疗手掌多汗症的临床疗效比较:R4交感神经切断术与R4交感神经夹闭术及R3交感神经夹闭术的比较
J Thorac Dis. 2016 May;8(5):934-41. doi: 10.21037/jtd.2016.03.57.
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Is clipping the preferable technique to perform sympathicotomy? A retrospective study and review of the literature.夹闭术是进行交感神经切断术的首选技术吗?一项回顾性研究及文献综述。
Langenbecks Arch Surg. 2015 Jan;400(1):107-12. doi: 10.1007/s00423-014-1249-8. Epub 2014 Sep 23.
5
Infraareolar access for thoracoscopic sympathectomy to treat primary hyperhidrosis.乳晕下入路胸腔镜交感神经切除术治疗原发性多汗症。
Surg Today. 2013 Feb;43(2):221-4. doi: 10.1007/s00595-012-0214-9. Epub 2012 Jun 6.
6
Sympathetic chain clipping for hyperhidrosis is not a reversible procedure.交感神经链切断术治疗多汗症不是一种可逆的手术。
Surg Endosc. 2012 May;26(5):1258-63. doi: 10.1007/s00464-011-2023-4. Epub 2011 Nov 15.
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One stage bilateral endoscopic sympathectomy under local anesthesia: Is a valid, and safe procedure for treatment of palmer hyperhidrosis?局部麻醉下一期双侧内镜下交感神经切除术:是治疗掌部多汗症的有效且安全的方法吗?
J Minim Access Surg. 2010 Jan;6(1):11-5. doi: 10.4103/0972-9941.62529.
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Firing properties of sudomotor neurones in hyperhidrosis and thermal sweating.多汗症和温热性出汗中汗腺运动神经元的放电特性。
Clin Auton Res. 2008 Dec;18(6):325-30. doi: 10.1007/s10286-008-0507-7. Epub 2008 Nov 6.