Sayeed R A, Nyamekye I, Ghauri A S, Poskitt K R
Department of Vascular Surgery, Cheltenham General Hospital, Gloucestershire, UK.
Eur J Surg Suppl. 1998(580):39-42. doi: 10.1080/11024159850191139.
To assess the outcome after transthoracic endoscopic sympathectomy (TES) for upper limb hyperhidrosis.
Prospective cohort study.
District general hospital.
Consecutive patients undergoing TES for upper limb hyperhidrosis over a fifteen month period.
One-stage bilateral TES.
Change in quality of life as shown by the Short Form-36 health assessment questionnaire.
Sixteen patients (11 women and 5 men, median age 26 years) underwent operation without complications. At median follow-up of 6.2 months, symptomatic improvement was found in 26 of 32 limbs treated (82%). Truncal compensatory hyperhidrosis was reported by 13 patients but was severe in only three. There were significant improvements in social function (p = 0.01) and mental health (p = 0.025) as assessed by the SF-36.
Despite a high incidence of compensatory hyperhidrosis, TES improved both the symptoms and overall quality of life in patients with upper limb hyperhidrosis.
评估经胸交感神经链切断术（TES）治疗上肢多汗症的疗效。
前瞻性队列研究。
地区综合医院。
在15个月期间连续接受TES治疗上肢多汗症的患者。
一期双侧TES。
健康调查简表-36（Short Form-36）健康评估问卷所示的生活质量变化。
16例患者（11例女性，5例男性，中位年龄26岁）接受手术，无并发症发生。中位随访6.2个月时，32例接受治疗的上肢中，有26例（82%）症状改善。13例患者报告有躯干代偿性多汗，但仅3例严重。根据SF-36评估，社会功能（p = 0.01）和心理健康（p = 0.025）有显著改善。
尽管代偿性多汗发生率较高，但TES改善了上肢多汗症患者的症状和总体生活质量。
