交感神经重建治疗原发性多汗症交感手术后代偿性多汗症。
Sympathetic nerve reconstruction for compensatory hyperhidrosis after sympathetic surgery for primary hyperhidrosis.
机构信息
Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University, College of Medicine, Seoul, Korea.
出版信息
J Korean Med Sci. 2010 Apr;25(4):597-601. doi: 10.3346/jkms.2010.25.4.597. Epub 2010 Mar 19.
We performed sympathetic nerve reconstruction using intercostal nerve in patients with severe compensatory hyperhidrosis after sympathetic surgery for primary hyperhidrosis, and analyzed the surgical results. From February 2004 to August 2007, sympathetic nerve reconstruction using intercostal nerve was performed in 19 patients. The subjected patients presented severe compensatory hyperhidrosis after thoracoscopic sympathetic surgery for primary hyperhidrosis. Reconstruction of sympathetic nerve was performed by thoracoscopic surgery except in 1 patient with severe pleural adhesion. The median interval between the initial sympathetic surgery and sympathetic nerve reconstruction was 47.2 (range: 3.5-110.7) months. Compensatory sweating after the reconstruction surgery improved in 9 patients, and 3 out of them had markedly improved symptoms. Sympathetic nerve reconstruction using intercostal nerve may be one of the useful surgical options for severe compensatory hyperhidrosis following sympathetic surgery for primary hyperhidrosis.
我们对原发性多汗症交感神经手术后出现严重代偿性多汗的患者使用肋间神经进行了交感神经重建，并分析了手术结果。从 2004 年 2 月至 2007 年 8 月，对 19 例患者进行了肋间神经交感神经重建。这些患者在接受原发性多汗症的胸腔镜交感神经手术后出现严重的代偿性多汗。除了 1 例严重胸膜粘连的患者外，其余患者均通过胸腔镜手术进行了交感神经重建。初次交感神经手术后和交感神经重建之间的中位数间隔为 47.2 个月（范围：3.5-110.7）。重建手术后代偿性出汗改善的有 9 例，其中 3 例症状明显改善。肋间神经交感神经重建可能是原发性多汗症交感神经手术后严重代偿性多汗的一种有效手术选择。
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