Hajjar Waseem M, Al-Nassar Sami A, Al-Sharif Heba M, Al-Olayet Dana M, Al-Otiebi Wejdan S, Al-Huqayl Alanoud A, Hajjar Adnan W
Department of Surgery, Thoracic Surgery Division, College of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2019 Jan-Mar;13(1):16-22. doi: 10.4103/sja.SJA_335_18.
Hyperhidrosis is a functional disorder identified by excessive sweating. Its incidence is approximately 1% in any population. Bilateral endoscopic thoracic sympathectomy (BETS) intervention is the definitive treatment of choice for palmar and axillary hyperhidrosis.
The purpose of this study is to evaluate and compare the quality of life (QOL) and satisfaction rate of patients with upper limb hyperhidrosis before and after BETS surgery and the influence of compensatory hyperhidrosis (CH) on patients' QOL after surgery.
This study is a cross-sectional study designed to generate longitudinal data.
This study is a cross-sectional study designed to generate longitudinal data pre- and postbilateral BETS prospectively. This study was conducted in the surgery department of University Hospital in Riyadh, Saudi Arabia. Hundred patients with upper limb hyperhidrosis who underwent BETS from 2014 to 2017 were included. A modified and validated QOL questionnaire for hyperhidrosis was completed by the patients themselves in order to compare the QOL for patients both before and after BETS. Patients' satisfaction and the occurrence of CH were obtained postoperatively.
Data were analyzed using the SPSS statistical package for social studies, version 22.0 (SPSS 22; IBM Corp., New York, NY, USA) for Windows.
A total of 100 patients completed the questionnaire; 94% of patients had a positive QOL outcome after the surgery. The mean decrease in QOL scores was -42.0 points toward better QOL. The site of sweating had a significant effect on the patients' QOL before and after the surgery ( value < 0.001). Moreover, 76% of patients reported a high satisfaction rate.
Primary hyperhidrosis can negatively impair patients' QOL in different domains. BETS showed to be an effective option for improving the QOL of patients and it provided both short- and long-term effectiveness in treating upper limb hyperhidrosis. CH did not interfere with the rate of patient satisfaction or their QOL postoperatively.
多汗症是一种以出汗过多为特征的功能性疾病。其在任何人群中的发病率约为1%。双侧内镜胸交感神经切除术（BETS）是治疗手掌和腋窝多汗症的首选确定性治疗方法。
本研究旨在评估和比较BETS手术前后上肢多汗症患者的生活质量（QOL）和满意率，以及代偿性多汗症（CH）对患者术后生活质量的影响。
本研究是一项旨在生成纵向数据的横断面研究。
本研究是一项前瞻性的横断面研究，旨在生成双侧BETS术前和术后的纵向数据。本研究在沙特阿拉伯利雅得大学医院的外科进行。纳入了2014年至2017年接受BETS手术的100例上肢多汗症患者。患者自行填写一份经过修改和验证的多汗症生活质量问卷，以比较BETS手术前后患者的生活质量。术后获得患者的满意度和CH的发生情况。
使用社会科学统计软件包SPSS 22.0（SPSS 22；IBM公司，美国纽约州纽约市）对数据进行分析。
共有100例患者完成问卷；94%的患者术后生活质量结果为阳性。生活质量评分平均下降-42.0分，生活质量改善。出汗部位对手术前后患者的生活质量有显著影响（ 值<0.001）。此外，76%的患者报告满意率较高。
原发性多汗症可在不同领域对患者的生活质量产生负面影响。BETS是改善患者生活质量的有效选择，在治疗上肢多汗症方面具有短期和长期疗效。CH并不影响患者术后的满意率或生活质量。
