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上胸段交感神经切除术后的味觉现象

Gustatory phenomena after upper dorsal sympathectomy.

作者信息

Kurchin A, Adar R, Zweig A, Mozes M

出版信息

Arch Neurol. 1977 Oct;34(10):619-23. doi: 10.1001/archneur.1977.00500220053008.

DOI:10.1001/archneur.1977.00500220053008
PMID:907534
Abstract

In a series of 100 bilateral upper dorsal sympathectomies performed for palmar hyperhidrosis, gustatory sweating and other gustatory phenomena were reported by 68 of 93 patients (73%), followed up for an average of 1 1/2 years. These gustatory phenomena were quite different from physiologic gustatory sweating: a wide range of gustatory stimuli caused a variety of phenomena in varied locations. There was a negative correlation between the incidence of these phenomena and the occurrence of Horner's syndrome after sympathectomy. Analysis of our observations, and of clinical and experimental work of others, leads to the conclusion that gustatory phenomena after upper dorsal sympathectomy are the result of preganglionic sympathetic regeneration or collateral sprouting with aberrant synapses in the superior cervical ganglion.

摘要

在为治疗手掌多汗症而进行的100例双侧上背部交感神经切除术系列病例中,93例患者中有68例(73%)报告出现味觉性出汗及其他味觉现象,平均随访时间为1.5年。这些味觉现象与生理性味觉出汗截然不同:广泛的味觉刺激在不同部位引发了各种各样的现象。这些现象的发生率与交感神经切除术后霍纳综合征的发生呈负相关。对我们的观察结果以及其他人的临床和实验研究进行分析后得出结论,上背部交感神经切除术后的味觉现象是节前交感神经再生或侧支发芽并在上颈神经节形成异常突触的结果。

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1
Gustatory phenomena after upper dorsal sympathectomy.上胸段交感神经切除术后的味觉现象
Arch Neurol. 1977 Oct;34(10):619-23. doi: 10.1001/archneur.1977.00500220053008.
2
Complications in patients with palmar hyperhidrosis treated with transthoracic endoscopic sympathectomy.
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Thoracoscopic sympathectomy for hyperhidrosis: is there a learning curve?胸腔镜下交感神经切除术治疗多汗症:是否存在学习曲线?
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Endoscopic transthoracic sympathectomy for upper limb hyperhidrosis: limited sympathectomy does not reduce postoperative compensatory sweating.内镜下经胸交感神经切除术治疗上肢多汗症:局限性交感神经切除术并不能减少术后代偿性出汗。
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引用本文的文献

1
Thoracic endoscopic T2-T3 sympathectomy in palmar hyperhidrosis: experience of 112 cases.胸腔镜下T2-T3交感神经切除术治疗手掌多汗症:112例经验
Surg Today. 1993;23(2):105-7. doi: 10.1007/BF00311225.