Misiak Piotr, Jabłoński Sławomir, Rzepkowska-Misiak Beata, Piskorz Lukasz, Brocki Marian, Wcisło Szymon, Smigielski Jacek, Kordiak Jacek
Department of Chest Surgery, General and Oncological Surgery, University Hospital WAM and CSW Medical University of Lodz, Poland.
Wideochir Inne Tech Maloinwazyjne. 2012 Aug;7(3):147-55. doi: 10.5114/wiitm.2011.26843. Epub 2012 Jan 26.
Hyperhidrosis is excessive sweating beyond the needs of thermoregulation. It is disease which mostly affects young people, often carrying a considerable amount of socio-economic implications. Thoracic sympathectomy is now considered to be the "gold standard" in the treatment of idiopathic hyperhidrosis of hands and armpits.
Assessment of early effectiveness of thoracic sympathectomy using skin resistance measurements performed before surgery and in the postoperative period.
A group of 20 patients with idiopathic excessive sweating of hands and the armpit was enrolled in the study. Patients underwent two-stage thoracic sympathectomy with resection of Th2-Th4 ganglions. The skin resistance measurements were made at six previously designated points on the day of surgery and the first day after the operation.
In all operated patients we obtained complete remission of symptoms on the first day after the surgery. Inhibition of sweating was confirmed using the standard starch iodine (Minor) test. At all measurement points we obtained a statistically significant increase of skin resistance, assuming p < 0.05. To check whether there is a statistically significant difference in the results before and after surgery we used sequence pairs Wilcoxon test.
Thoracic sympathectomy is an effective curative treatment for primary hyperhidrosis of hands and armpits. Statistically significant increase of skin resistance in all cases is a good method of assessing the effectiveness of the above surgery in the early postoperative period.
多汗症是指出汗超出体温调节所需的情况。这是一种主要影响年轻人的疾病，常常带来相当多的社会经济影响。胸交感神经切除术目前被认为是治疗手部和腋窝特发性多汗症的“金标准”。
通过术前和术后进行皮肤电阻测量来评估胸交感神经切除术的早期疗效。
一组20例手部和腋窝特发性多汗症患者纳入本研究。患者接受两阶段胸交感神经切除术，切除T2 - T4神经节。在手术当天和术后第一天，在六个预先指定的点进行皮肤电阻测量。
所有接受手术的患者在术后第一天症状完全缓解。使用标准淀粉碘（Minor）试验证实出汗受到抑制。在所有测量点，假设p < 0.05，我们获得了皮肤电阻的统计学显著增加。为了检查手术前后结果是否存在统计学显著差异，我们使用了序列对威尔科克森检验。
胸交感神经切除术是治疗手部和腋窝原发性多汗症的有效治疗方法。所有病例中皮肤电阻的统计学显著增加是评估上述手术术后早期疗效的良好方法。
