Romero Flávio Ramalho, Cataneo Daniele Cristina, Cataneo Antonio José Maria
Botucatu School of Medicine, São Paulo State University - UNESP, Brazil.
Division of Thoracic Surgery. Botucatu School of Medicine, São Paulo State University - UNESP, Brazil..
Semin Thorac Cardiovasc Surg. 2018;30(3):362-366. doi: 10.1053/j.semtcvs.2018.06.003. Epub 2018 Jul 11.
The impact of upper thoracic percutaneous sympathectomy with radiofrequency on the quality of life (QOL) of patients with palmar hyperhidrosis was evaluated. Thirty-six patients with palmar hyperhidrosis were selected for a prospective observational study. Treatment consisted of percutaneous radiofrequency thoracic sympathectomy of T3 and T4 ganglions in all cases. QOL questionnaires were applied preoperatively, on the 1st postoperative (PO) day, and on the 30th, 90th, 180th, and 360th PO days. Furthermore, compensatory hyperhidrosis (HDSSc) scale measures were used simultaneously, in order to evaluate the rate and frequency of this side effect. The QOL questionnaire evaluation showed preoperative values of 83.94 ± 4.74 (meaning poor quality of life), decreasing to 24.61 ± 2.86 on the 1st PO day, 25.14 ± 3.12 on the 30th PO day, 31.28 ± 4.42 on the 90th PO day, 32.97 ± 4.54 on the 180th PO day, and 33.94 ± 4.6 on the 360th PO day (all postoperative results with values below 35 were considered optimal). Compensatory hyperhidrosis (HDSSc) scale values were 1.14 ± 0.35 on the 1st PO day, 1.42 ± 0.55 on the 30th PO day, 1.83 ± 0.85 on the 90th PO day, 1.92 ± 0.91 on the 180th PO day, and 1.92 ± 0.91 on the 360th PO day (meaning that hyperhidrosis was mainly unnoticed). Patients' subjective satisfaction was considered very good and the majority of patients would recommend the treatment procedure. Percutaneous radiofrequency thoracic sympathectomy had a positive impact on the quality of life of patients with palmar hyperhidrosis, compared to the surgical treatment, with a low rate and intensity of HDSSc and without other complications.
评估了经皮射频上胸交感神经切除术对掌跖多汗症患者生活质量（QOL）的影响。选取36例掌跖多汗症患者进行前瞻性观察研究。所有病例的治疗均包括经皮射频胸交感神经T3和T4神经节切除术。在术前、术后第1天、术后第30天、第90天、第180天和第360天应用生活质量问卷。此外，同时使用代偿性多汗症（HDSSc）量表进行测量，以评估这种副作用的发生率和频率。生活质量问卷评估显示术前值为83.94±4.74（意味着生活质量较差），术后第1天降至24.61±2.86，术后第30天为25.14±3.12，术后第90天为31.28±4.42，术后第180天为32.97±4.54，术后第360天为33.94±4.6（所有术后结果值低于35被认为是最佳的）。代偿性多汗症（HDSSc）量表值在术后第1天为1.14±0.35，术后第30天为1.42±0.55，术后第90天为1.83±0.85，术后第180天为1.92±0.91，术后第360天为1.92±0.91（意味着多汗症主要未被注意到）。患者的主观满意度被认为非常好，大多数患者会推荐该治疗方法。与手术治疗相比，经皮射频胸交感神经切除术对掌跖多汗症患者的生活质量有积极影响，HDSSc的发生率和强度较低，且无其他并发症。
