Stefaniak Tomasz, Cwigoń Marta, Vingerhoets Ad J J M, Dobosz Lukasz, Kaczor Maciej, Cwaliński Tomasz, Lankiewicz Marta, Wrukowska Iwona
Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Gdansk, Poland.
Department of Clinical Psychology, Tilburg University, Tilburg, Netherlands.
Wideochir Inne Tech Maloinwazyjne. 2013 Dec;8(4):315-20. doi: 10.5114/wiitm.2011.35134. Epub 2013 May 17.
Primary hyperhidrosis (PHH) is a disease that is mainly characterized by increased palmar and plantar sweating that significantly affects the everyday functioning. It is not clear to what extent this surgical intervention has an effect on one's further emotional functioning.
To evaluate the impact of endoscopic thoracic sympathectomy (ETS) on crying tendency in PHH patients.
Eighty-six patients qualified for ETS due to PHH took part in the study. All patients completed the Adult Crying Inventory (ACI) and the Functional Assessment of Chronic Illness Therapy (FACIT) questionnaires before and 3 months after sympathectomy. The ACI questionnaire was additionally completed by a group of 60 volunteers.
In females, the number of crying episodes increased after ETS, though it was still lower than the number observed in the control group (1.19 vs. 2.36 vs. 3.83; p < 0.05). In males the number of crying episodes dropped insignificantly to the number observed in the control group (0.87 vs. 0.27 vs. 0.14; p = NS). The tendency to cry in females decreased compared to the level prior to surgery, but it was lower than the level observed in the control group (respectively, 4.5 vs. 3.5 vs. 5.63; p < 0.05). In males the differences were not statistically significant (1.03 vs. 1.5 vs. 1.77; p = NS). There was no impact of emotional status on crying, either before or after the treatment.
Endoscopic thoracic sympathectomy decreases the subjective tendency to cry though it increases the number of crying episodes in women, but does not change crying behaviours in men.
原发性多汗症（PHH）是一种主要特征为手掌和足底出汗增多的疾病，这会严重影响日常功能。目前尚不清楚这种手术干预对患者后续情绪功能的影响程度。
评估内镜下胸交感神经切断术（ETS）对原发性多汗症患者哭泣倾向的影响。
86例因原发性多汗症符合ETS手术条件的患者参与了本研究。所有患者在交感神经切除术前及术后3个月均完成了成人哭泣量表（ACI）和慢性病治疗功能评估量表（FACIT）问卷。另外，一组60名志愿者完成了ACI问卷。
女性患者在ETS术后哭泣发作次数增加，尽管仍低于对照组观察到的次数（分别为1.19、2.36和3.83；p<0.05）。男性患者哭泣发作次数降至与对照组观察到的次数无显著差异（分别为0.87、0.27和0.14；p=无统计学意义）。与手术前相比，女性哭泣倾向降低，但低于对照组观察到的水平（分别为4.5、3.5和5.63；p<0.05）。男性患者差异无统计学意义（分别为1.03、1.5和1.77；p=无统计学意义）。治疗前后情绪状态对哭泣均无影响。
内镜下胸交感神经切断术降低了主观哭泣倾向，尽管女性哭泣发作次数增加，但对男性哭泣行为无影响。
