Tan V, Nam H
Binh Dan Hospital, 371 Dien Bien Phu St, 3rd District, Ho Chi Minh City, Vietnam.
Ann Thorac Cardiovasc Surg. 1998 Oct;4(5):244-6.
From August 1996 to August 1997, we performed thoracoscopic sympathectomy for 96 cases of palmer hyperhidrosis. The patients' ages were from 22 to 58 years old (mean age: 28; gender ratio: male/female: 3/2). Most of them were students, workers or clerks. The patients were divided in two series: in 61 patients, the sympathetic chain before the 2nd to 4th ribs was removed in the lateral approach with a 3 hole procedure. In 35 patients, the 2nd portion of the sympathetic chain was destroyed (by electric cauter) in the posterior approach with a 2 hole procedure. The results were almost the same in the first series (all cases have a fair benefit), but in the second series, some advantages may be useful for therapy, i.e no need to turn the patients, severe compensation sweating is minimized (from 4% ==> 0%) and the amount of holes is reduced.
1996年8月至1997年8月，我们对96例掌部多汗症患者实施了胸腔镜交感神经切除术。患者年龄在22岁至58岁之间（平均年龄：28岁；性别比：男/女 = 3/2）。他们大多是学生、工人或职员。患者被分为两组：61例患者采用三孔法经外侧入路切除第2至4肋水平的交感神经链；35例患者采用两孔法经后入路破坏交感神经链的第2段（通过电灼）。第一组的效果几乎相同（所有病例均有一定益处），但在第二组中，一些优点可能对治疗有用，即无需翻动患者、严重代偿性出汗降至最低（从4%降至0%）且切口数量减少。
