Department of Family Medicine, Yonsei University College of Medicine, Severance Hospital, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
The 3rd Air and Missile Defense Brigade, Air and Missile Defense Command, Republic of Korea Air Force, Seoul, Republic of Korea.
Sci Rep. 2022 Jul 6;12(1):11456. doi: 10.1038/s41598-022-14778-7.
The purpose of this study is to evaluate whether monitoring the changes of skin blood flow may be effective in assessing blood perfusion during endoscopic lumbar sympathectomy (ELS) in patients with plantar hyperhidrosis. In this study, a total of 30 patients who underwent surgical treatment for plantar hyperhidrosis at the Department of Thoracic and Cardiovascular Surgery in Yonsei University Gangnam Severance Hospital, Seoul, Korea, between July 2020 and December 2020, were retrospectively analyzed. Sympathetic denervation was performed on the third lumbar ganglion, and intraoperative laser doppler flowmetry (LDF) was used to detect the lumbar sympathetic chain accurately. We observed an abrupt increase of peripheral blood flow after sympathetic denervation, and the median percent changes of perfusion unit were 173.27 (inter-quartile range, IQR 195.48) and 392.98 (IQR 597.27) for the left and right sympathectomies, respectively. This study demonstrated the efficacy of monitoring skin blood flow via LDF during ELS. This result suggests that exact detection of blood flow using LDF is essential for improving the accuracy of ELS by checking the perfusion site on the sole in patients with plantar hyperhidrosis.
本研究旨在评估监测皮肤血流变化在评估内镜下腰椎交感神经切除术（ELS）中足底多汗症患者的血液灌注是否有效。本研究回顾性分析了 2020 年 7 月至 2020 年 12 月期间在韩国首尔延世大学江南Severance 医院胸心外科接受手术治疗足底多汗症的 30 例患者。在第三腰椎神经节进行交感神经切断术，并使用术中激光多普勒流量仪（LDF）准确检测腰椎交感神经链。我们观察到交感神经切断后外周血流量突然增加，左侧和右侧交感神经切断术的灌注单位的中位数百分比变化分别为 173.27（四分位距[IQR]，195.48）和 392.98（IQR，597.27）。本研究证明了在 ELS 期间通过 LDF 监测皮肤血流的有效性。该结果表明，通过检查足底多汗症患者的足底灌注部位，使用 LDF 准确检测血流对于提高 ELS 的准确性至关重要。
