Department of Vascular Surgery, Hospital das Clínicas, Heart Institute (Incor), University of São Paulo Medical School, São Paulo, Brazil.
J Vasc Surg. 2010 May;51(5):1190-4. doi: 10.1016/j.jvs.2009.11.078. Epub 2010 Mar 29.
The objective of this study was to evaluate the postoperative quality of life (QOL) experienced among a group of 1167 patients who underwent video-assisted thoracoscopic sympathectomy (VATS) to treat primary hyperhidrosis, as compared with the presurgical QOL.
Between February 2002 and June 2007, 1167 patients who had undergone VATS were surveyed. The majority had presented with palmar hyperhidrosis (794 patients; 68%), while 340 (29%) had presented with axillary hyperhidrosis. Based on data obtained from the QOL protocol applied to all of the patients preoperatively, the patients were divided into two groups according to the level of their QOL: group 1 consisted of 312 patients (27%) with poor QOL and group 2 of 855 patients (73%) with very poor QOL. The same protocol was applied postoperatively, and five different levels of satisfaction were obtained. The same parameters were evaluated for both the palmar and the axillary hyperhidrosis subgroups.
The patients with very poor QOL had much better results in terms of improvement in QOL than did those with poor QOL (P < .05). The same result was observed for both the palmar and axillary hyperhidrosis subgroups (P < .05).
The worse the preoperative QOL among patients undergoing sympathectomy to treat primary hyperhidrosis is, the better the postoperative improvement in QOL will be.
本研究旨在评估 1167 例接受电视辅助胸腔镜交感神经切除术（VATS）治疗原发性多汗症患者的术后生活质量（QOL），并与术前 QOL 进行比较。
2002 年 2 月至 2007 年 6 月期间，对 1167 例行 VATS 的患者进行了调查。大多数患者有手掌多汗症（794 例；68%），340 例（29%）有腋窝多汗症。根据应用于所有患者术前 QOL 方案获得的数据，根据患者 QOL 水平将其分为两组：组 1 为 312 例（27%）QOL 较差，组 2 为 855 例（73%）QOL 非常差。术后应用相同的方案，并获得了五个不同的满意度水平。对手掌多汗症和腋窝多汗症亚组进行了相同的参数评估。
在 QOL 改善方面，非常差 QOL 的患者比差 QOL 的患者有更好的结果（P <.05）。手掌多汗症和腋窝多汗症亚组均观察到相同的结果（P <.05）。
接受交感神经切除术治疗原发性多汗症的患者术前 QOL 越差，术后 QOL 的改善就越好。
