双侧R5-R8交感神经切除术治疗代偿性多汗症：并发症及患者满意度
Bilateral R5-R8 sympathectomy for compensatory hyperhidrosis: complications and patient satisfaction.
作者信息
Vasconcelos César F M, Aguiar Wolfgang Schmidt, Tavares Rafael Melo, Barbosa Alisson, Cordeiro Gabriel Guerra, Oliveira Fernando de Santa Cruz, Ferraz Álvaro A B
机构信息
Hospital das Clínicas - Universidade Federal de Pernambuco, Pós-graduação em Operação - Recife - PE - Brasil.
Hospital das Clínicas - Universidade Federal de Pernambuco, Serviço de Operação Torácica - Recife - PE - Brasil.
出版信息
Rev Col Bras Cir. 2020 Jun 3;47:e20202398. doi: 10.1590/0100-6991e-20202398. eCollection 2020.
OBJECTIVE
The purpose of this study was to assess the quality of life of patients who had undergone bilateral thoracic sympathectomy from R5 to R8 as a treatment for severe and debilitating compensatory hyperhidrosis (CH).
METHODS
Twelve patients with severe and debilitating compensatory hyperhidrosis underwent extended sympathectomy (R5-R8) from September 2016 to May 2019 at the Hospital das Clínicas, Federal University of Pernambuco, Brazil. Outcomes such as the level of patient satisfaction with the operation, quality of life scores as well as postoperative complications were assessed.
RESULTS
There has been a substantial improvement in the quality of life score of 66% of the sample. In all four domains, a statistical significant difference was seen, regarding the relief of compensatory hyperhidrosis symptoms.
CONCLUSIONS
Extended sympathectomy from R5 to R8 was shown to be quite effective in most cases, leading us to believe that this approach could be a therapeutic option for severe compensatory hyperhidrosis.
目的
本研究旨在评估接受从R5至R8双侧胸交感神经切除术治疗严重且使人衰弱的代偿性多汗症（CH）患者的生活质量。
方法
2016年9月至2019年5月期间，12例患有严重且使人衰弱的代偿性多汗症的患者在巴西伯南布哥联邦大学临床医院接受了扩大交感神经切除术（R5 - R8）。评估了诸如患者对手术的满意度水平、生活质量评分以及术后并发症等结果。
结果
66%的样本生活质量评分有显著改善。在所有四个领域，就代偿性多汗症症状的缓解而言，均观察到具有统计学意义的差异。
结论
在大多数情况下，从R5至R8的扩大交感神经切除术显示出相当有效，这使我们相信这种方法可能是严重代偿性多汗症的一种治疗选择。
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