CAJ | 학술논문

目的：探讨单孔胸腔镜下T4交感神经链切断术治疗原发性手汗症的临床效果。方法选取2013年6月~2014年6月在本院进行治疗的原发性手汗症患者126例,按照随机数字表法分为实验组(63例)和对照组(63例)。实验组在单孔胸腔镜下切断交感神经进行治疗,对照组在双孔胸腔镜下进行治疗。比较两组的住院时间、术中出血量、VAS评分及术前、术后2 d、术后4 d的血清C-反应蛋白(CRP)、IL-6及皮质醇水平。结果实验组患者住院时间短于对照组,术中出血量少于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05)。实验组术后2、4 d血清CRP、IL-6及皮质醇水平明显低于对照组,差异有统计学意义(P<0.05)。结论单孔胸腔镜下切断T4交感神经链治疗原发性手汗症效果明显,恢复时间短,术中出血量少,具有微创、预后效果好、愈合快、住院费用低等优点。
목적：탐토단공흉강경하T4교감신경련절단술치료원발성수한증적림상효과。방법선취2013년6월~2014년6월재본원진행치료적원발성수한증환자126례,안조수궤수자표법분위실험조(63례)화대조조(63례)。실험조재단공흉강경하절단교감신경진행치료,대조조재쌍공흉강경하진행치료。비교량조적주원시간、술중출혈량、VAS평분급술전、술후2 d、술후4 d적혈청C-반응단백(CRP)、IL-6급피질순수평。결과실험조환자주원시간단우대조조,술중출혈량소우대조조,VAS평분저우대조조,차이유통계학의의(P<0.05)。실험조술후2、4 d혈청CRP、IL-6급피질순수평명현저우대조조,차이유통계학의의(P<0.05)。결론단공흉강경하절단T4교감신경련치료원발성수한증효과명현,회복시간단,술중출혈량소,구유미창、예후효과호、유합쾌、주원비용저등우점。
Objective To study the effect of single-hole thoracoscopic T4 sympathectomy in treatment of primary hy-perhidrosis. Methods 126 cases of patients with primary hyperhidrosis were conducted in our hospital from June 2013 to June 2014 were selected,and were randomly divided into the experimental group (63 cases) and control group (63 cases).The experimental group were given with sympathetic enervation in the single whole thoracoscopic treatment,the control group were given with the dual thoracoscopic treatment of hyperhidrosis.The hospitalization time,amount of bleeding during the operation,VAS score and serum CRP,IL-6 and cortical levels preoperative,postoperative 2 and 4 days treatment between the two groups were analyzed. Results The hospitalization time of experimental group was shorter than that of the control group,amount of bleeding during the operation were less than those of control group,VAS score was lower than that of the control group,the differences were significant (P<0.05).The serum CRP,IL-6 and corti-cal levels in the experimental group after 2 and 4 days treatment were lower than those of the control group,the differ-ences were significant (P<0.05). Conclusion Single-hole thoracoscopic T4 sympathectomy in treatment of primary hy-perhidrosis has obvious effect,short recovery time,less bleeding,minimally invasive,good prognosis effect,fast healing, lower hospitalization expenses etc..