CAJ | 학술논문

目的总结胸腔镜下T3～4交感神经链切断术治疗原发性手汗症的临床经验.方法回顾性分析胸腔镜下T3～4交感神经链切断术治疗80例原发性手汗症患者的临床资料.结果 80例患者手术均获成功,术后手掌多汗症状立即消失,手术时间(42.5±15.7) min,住院时间(3.9±0.6)d.无霍纳综合征及死亡病例.62例患者随访6～24个月,发生轻度代偿性多汗26例,均无复发.结论胸腔镜下T3～4交感神经链切断术是治疗原发性手汗症的一种安全、有效的微创治疗方法.
목적 총결흉강경하T3～4교감신경련절단술치료원발성수한증적림상경험.방법 회고성분석흉강경하T3～4교감신경련절단술치료80례원발성수한증환자적림상자료.결과 80례환자수술균획성공,술후수장다한증상립즉소실,수술시간(42.5±15.7) min,주원시간(3.9±0.6)d.무곽납종합정급사망병례.62례환자수방6～24개월,발생경도대상성다한26례,균무복발.결론 흉강경하T3～4교감신경련절단술시치료원발성수한증적일충안전、유효적미창치료방법.
Objective To summarize the clinical experience of T3-4 thoracic sympathectomy in the treatment of primary hyperhidrosis.Methods The clinical data of 80 patients with primary hyperhidrosis who underwent T3-4 thoracic sympathectomy were analyzed retrospectively.Results The operation was successfully performed on all patients.The symptom of palmar hyperhidrosis vanished in all patients,the operative time was (42.5 ± 15.7) min,the length of stay in hospital was (3.9 ± 0.6) d.No death and Horner syndrome occurred.All the patients were followed up for 6-24 months,compensatory hyperhidrosis was found in 26 patients,and no recurrence was found.Conclusion T3-4 thoracic sympathectomy is a safe and effective minimally invasive treatment for primary hyperhidrosis.