T3 或 T4 交感神经切除术治疗手掌多汗症的影响。
Influence of T3 or T4 sympathicotomy for palmar hyperhidrosis.
机构信息
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, South Korea.
出版信息
Am J Surg. 2010 Feb;199(2):166-9. doi: 10.1016/j.amjsurg.2008.12.024. Epub 2009 Apr 10.
BACKGROUND
This retrospective study aimed to compare the efficacy of video-assisted thoracoscopic sympathicotomy at the T3 or T4 level in the treatment of palmar hyperhidrosis.
METHODS
Patients were operated on for palmar hyperhidrosis from April 2004 to December 2007, and classified as the T3 (n = 56) or T4 (n = 63) sympathicotomy group.
RESULTS
The rate of dryness and compensatory hyperhidrosis (CH) was significantly lower in the T4 sympathicotomy group than the T3 group (P < .01). Satisfaction rate, recurrence, and improvement of plantar sweating were of no statistical significance in either group.
CONCLUSIONS
Although both sympathicotomies were effective, safe, and minimally invasive methods for the treatment of palmar hyperhidrosis, T4 appeared to be a more optimal technique with less CH.
背景
本回顾性研究旨在比较 T3 或 T4 水平电视胸腔镜胸交感神经切断术治疗手掌多汗症的疗效。
方法
2004 年 4 月至 2007 年 12 月期间，对患有手掌多汗症的患者进行手术，并分为 T3（n=56）或 T4（n=63）交感神经切断组。
结果
T4 交感神经切断组的干燥率和代偿性多汗（CH）发生率明显低于 T3 组（P<0.01）。两组患者的满意度、复发率和足底出汗改善情况均无统计学意义。
结论
虽然 T3 和 T4 交感神经切断术都是治疗手掌多汗症的有效、安全且微创的方法，但 T4 似乎是一种更优的技术，CH 发生率更低。
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