Health and Environment, University Tiradentes, Aracaju, Brazil.
Federal University of Sergipe, Aracaju, Brazil.
J Am Acad Dermatol. 2023 May;88(5):e197-e201. doi: 10.1016/j.jaad.2015.10.048.
Primary hyperhidrosis (PH) affects young patients and may cause emotional distress and a negative quality of life (QOL).
We sought to evaluate the QOL of children and adolescents with PH treated by endoscopic thoracic sympathectomy.
A study of 220 patients was performed, based on submitted QOL questionnaires from their first consultation. Patients were evaluated within 1 week and 24 months after surgery.
Before endoscopic thoracic sympathectomy, the QOL in relation to PH was declared very poor by 141 patients, and poor by the remaining 79 (P = .552). Postoperative cure was reported in 100% of palmar and axillary PH cases, and in 91.7% of facial PH. After 24 months, the QOL was described as much better by 212 patients, a little better by 6 patients, and 2 patients reported no change.
Convenience sampling was used and patients were taken from private practice only, raising the possibility of bias in gathering the data.
Onset of PH symptoms was mainly before the age of 10 years and substantially affected daily activities. Endoscopic thoracic sympathectomy cured PH and promoted significant improvement in the QOL of these young patients.
原发性多汗症（PH）影响年轻患者，并可能导致情绪困扰和生活质量（QOL）下降。
我们旨在评估接受胸腔镜交感神经切断术治疗的 PH 患儿和青少年的 QOL。
根据首次就诊时提交的 QOL 问卷，对 220 例患者进行了研究。术后 1 周和 24 个月对患者进行了评估。
在胸腔镜交感神经切断术之前，141 例患者报告 PH 相关 QOL 极差，79 例患者报告 QOL 差（P =.552）。手掌和腋窝 PH 病例的术后治愈率为 100%，面部 PH 的治愈率为 91.7%。术后 24 个月时，212 例患者报告 QOL 明显改善，6 例患者报告稍有改善，2 例患者报告无变化。
采用便利抽样，仅从私人执业中选取患者，这可能会导致数据收集存在偏倚。
PH 症状主要发生在 10 岁之前，严重影响日常活动。胸腔镜交感神经切断术可治愈 PH，并显著改善这些年轻患者的 QOL。
