Lesèche G, Nicolet J, Andreassian B
Service de Chirurgie thoracique et vasculaire, Hôpital Beaujon, Clichy.
Presse Med. 1995 Nov 4;24(33):1569-73.
Primary hyperhidrosis of the upper limbs has an important impact on the subject's social and psycho-affective equilibrium. These patients have two main problems. First physicians are not sufficiently aware of the therapeutic possibilities and secondly the generally poor reputation of surgery in this indication. Transthoracic endoscopic sympathectomy has completely changed the treatment of hyperhidrosis of the upper limbs. It is now considered to be the reference treatment in severe cases. The surgical procedure is simple and allows simultaneous treatment of both sides. There is no mortality and morbidity is extremely low quantitatively and of little consequence qualitatively. The therapeutic protocol is short and immediate and long-term results are excellent in 98 to 100% of the patients.
上肢原发性多汗症对患者的社交和心理情感平衡有重要影响。这些患者有两个主要问题。一是医生对治疗方法的了解不够充分，二是手术在该适应症方面普遍声誉不佳。经胸内镜交感神经切除术彻底改变了上肢多汗症的治疗方式。目前它被认为是重症病例的参考治疗方法。手术操作简单，可同时治疗双侧。无死亡率，发病率在数量上极低，在质量上影响极小。治疗方案简短且立竿见影，98%至100%的患者长期效果极佳。
