Department of Surgery, Northwestern University Feinberg School of Medicine, 251 East Huron Street, Suite 3-150, Chicago, IL 60611, USA.
Division of Thoracic Surgery, Northwestern Memorial Hospital, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 650, Chicago, IL 60611, USA.
Thorac Surg Clin. 2016 Nov;26(4):407-420. doi: 10.1016/j.thorsurg.2016.06.005. Epub 2016 Aug 4.
Large case series and randomized trials over the past 25 years have consistently demonstrated thoracoscopic interruption of the sympathetic chain to be a safe and effective treatment of focal primary hyperhidrosis. The surgical technique has evolved toward less-invasive and less-extensive procedures in an effort to minimize perioperative morbidity and effectively balance postoperative compensatory sweating with symptomatic relief. This review summarizes available evidence regarding the surgical approach and the optimal level of interruption of the sympathetic chain based on a patient's presenting distribution of pathologic sweating.
在过去的 25 年中，大量的病例系列和随机试验一致表明，胸腔镜下切断交感神经链是治疗局限性原发性多汗症的一种安全有效的方法。手术技术已经朝着微创和非广泛的程序发展，以尽量减少围手术期发病率，并有效地平衡术后代偿性出汗与症状缓解。本综述总结了根据患者病理性出汗的表现分布，关于手术方法和最佳交感神经链切断水平的现有证据。
