针式内镜电视辅助胸外科手术用于胸交感神经切除术的逆转。
Needlescopic video-assisted thoracic surgery for reversal of thoracic sympathectomy.
作者信息
Wong Randolph H L, Ng Calvin S H, Wong Jasper K W, Tsang Susanna
机构信息
Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong, China.
出版信息
Interact Cardiovasc Thorac Surg. 2012 Mar;14(3):350-2. doi: 10.1093/icvts/ivr121. Epub 2011 Dec 20.
Abstract
Thoracic sympathectomy is a commonly performed surgical procedure for the treatment of palmar hyperhidrosis. However, one major complication of such a procedure is compensatory truncal hyperhidrosis. We describe an extreme case of compensatory truncal hyperhidrosis and anhidrosis over the head and neck region which led to a heatstroke. Bilateral reoperative needlescopic video-assisted thoracic surgery was performed for the reversal of thoracic sympathectomy with an interposition intercostal nerve graft. The patient's truncal hyperhidrosis resolved gradually over 1 month following the reversal procedure.
摘要
胸交感神经切除术是治疗手掌多汗症的一种常用外科手术。然而，该手术的一个主要并发症是代偿性躯干多汗症。我们描述了一例极端的代偿性躯干多汗症病例，患者头颈部无汗，最终导致中暑。通过双侧再次手术，采用针式内镜视频辅助胸外科手术，置入肋间神经移植进行胸交感神经切除术的逆转。术后1个月内，患者的躯干多汗症逐渐缓解。
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