Department of Thoracic Surgery, Kırıkkale University, Turkey.
Turk J Med Sci. 2014;44(1):79-83. doi: 10.3906/sag-1211-96.
Hyperhidrosis is defined as excessive sweating beyond the physiologic needs of a person. Palmar hyperhidrosis in the adolescent period may have an impact on school work and may cause psychological problems. In this study we aim to increase awareness of this disregarded problem.
We explicated the early outcomes of 7 consecutive adolescents, where single port video-assisted thoracoscopic sympathectomy was performed for primary palmar hyperhidrosis. Patients were evaluated for symptom resolution, which was defined as complete dryness, patient satisfaction, operative complications, and compensatory sweating.
In total 13 thoracoscopic procedures were done in 7 adolescents, consisting of 4 girls and 3 boys (median age = 16 years). Thoracoscopic sympathectomy achieved immediate complete dryness and all were very satisfied with the outcome of the procedure. Compensatory sweating was defined as mild by 4 (57%) patients.
Thoracoscopic sympathectomy is safe and effective for the treatment of primary palmar hyperhidrosis in the adolescent period without any major side effects.
多汗症是指超出个人生理需要的过度出汗。青少年时期的手掌多汗可能会对学业产生影响，并可能导致心理问题。本研究旨在提高对这一被忽视问题的认识。
我们阐述了连续 7 例青少年患者接受单端口电视辅助胸腔镜交感神经切断术治疗原发性手掌多汗症的早期结果。通过评估症状缓解情况（定义为完全干燥、患者满意度、手术并发症和代偿性出汗）来评估患者。
共对 7 例青少年患者进行了 13 次胸腔镜手术，其中包括 4 名女孩和 3 名男孩（中位数年龄=16 岁）。胸腔镜交感神经切断术可立即达到完全干燥，所有患者对手术结果均非常满意。4 名（57%）患者将代偿性出汗定义为轻度。
胸腔镜交感神经切断术治疗青少年原发性手掌多汗症安全有效，无明显副作用。
