CAJ | 학술논문

目的：探讨针型胸腔镜T3~4交感神经链切断术治疗手足多汗症的疗效和术后并发症的发生率。方法总结我科收治的237例多汗症病例。全部采用针型胸腔镜胸交感神经链切断术,对其进行随访,分析对手、足多汗的疗效及术后并发症的发生率。结果237例手术全部成功,术后手多汗症状完全消失或明显缓解,治愈率100%。腋窝多汗及足底多汗缓解率分别为96.9%及77.2%。平均手术时间(38.4±17.3) min,术后平均住院日(3.4±0.7)d。轻-中度代偿性多汗发生率16.5%。无严重并发症。结论针型胸腔镜T3-4交感神经链切断术是治疗手汗症安全、有效、可靠的方法。
목적：탐토침형흉강경T3~4교감신경련절단술치료수족다한증적료효화술후병발증적발생솔。방법총결아과수치적237례다한증병례。전부채용침형흉강경흉교감신경련절단술,대기진행수방,분석대수、족다한적료효급술후병발증적발생솔。결과237례수술전부성공,술후수다한증상완전소실혹명현완해,치유솔100%。액와다한급족저다한완해솔분별위96.9%급77.2%。평균수술시간(38.4±17.3) min,술후평균주원일(3.4±0.7)d。경-중도대상성다한발생솔16.5%。무엄중병발증。결론침형흉강경T3-4교감신경련절단술시치료수한증안전、유효、가고적방법。
Objective To study the safety and efficacy of T3~4 sympathectomy by needle thoracoscopy for primary palmoplantar hyperhidrosis. Methods The clinical data of 237 cases, who were performed by needle thora-coscopy T3~4 sympathectomy, were retrospectively analyzed. Results All patients were completed the surgery, and the curative rate was 100%. After the treatment, hyperhidrosis disappeared completely or relieved. The incidence of compensatory sweating was 16. 5%. The remission rate of axillary and plantar sweating was 96. 9% and 77. 2% re-spectively. The median duration of operation was 38. 4 ± 17. 3 min, and the median duration of hospital stay was 3. 4 ± 0. 7 days. Conclusion The T3~4 sympathectomy is a reasonable, effective and safe treatment method for palmo-plantar hyperhidrosis.