CAJ | 학술논문

目的探讨经脐超细胃镜下胸交感神经毁损术治疗女性手汗症的安全性和临床应用价值.方法对25例女性手汗症患者行经脐超细胃镜下胸交感神经毁损术治疗,记录手术完成情况、手术时间、并发症发生情况,术后随访观察治疗效果.结果 25例均顺利完成手术,术中患者生命体征平稳,手术时间58 ～113 min,平均64 min.无膈疝、脐疝发生,无霍纳氏综合征和血胸等严重并发症发生,仅3例术后并发少量气胸.出院后1周所有患者恢复学习和工作,脐部手术瘢痕小而隐匿,体表基本无可见切口.随访4 ～12个月,所有患者手部多汗症状完全消失,腋汗症状6例完全消失、4例明显改善、1例轻微好转.结论经脐超细胃镜下胸交感神经毁损术治疗手汗症安全有效,术后瘢痕小而隐匿,更加适合爱美的女性.
목적 탐토경제초세위경하흉교감신경훼손술치료녀성수한증적안전성화림상응용개치.방법 대25례녀성수한증환자행경제초세위경하흉교감신경훼손술치료,기록수술완성정황、수술시간、병발증발생정황,술후수방관찰치료효과.결과 25례균순리완성수술,술중환자생명체정평은,수술시간58 ～113 min,평균64 min.무격산、제산발생,무곽납씨종합정화혈흉등엄중병발증발생,부3례술후병발소량기흉.출원후1주소유환자회복학습화공작,제부수술반흔소이은닉,체표기본무가견절구.수방4 ～12개월,소유환자수부다한증상완전소실,액한증상6례완전소실、4례명현개선、1례경미호전.결론 경제초세위경하흉교감신경훼손술치료수한증안전유효,술후반흔소이은닉,경가괄합애미적녀성.
Objective To investigate the clinical value of transumbilical endoscopic thoracic sympathectomy on women patients with palmar hyperhidrosis.Methods A total of 25 consecutive women patients with palmar hyperhidrosis underwent transumblical thoracic sympathectomy with ultra-thin endoscope.The operative data,including duration of operation,intra-operative and postoperative complications were recorded.Results The procedure was performed successfully in all 25 patients with a mean operative time of 64 min(58-113 min).No umbilical hernia,diaphragmatic hernia,Horner's syndrome or hemothorax were observed.Minor pneumothorax was found in postoperative chest X-ray in 3 patients,all of which were completely resolved with conservative treatment.All patients recovered to their normal life at 1 week after discharge.The scar was small and hidden in umbilical with no visible incisions.After a follow-up of 4 to 12 months,all patients' hands sweating symptoms completely disappeared,axillary sweat symptoms completely resolved in 6 patients,significantly improved in 4 and mildly improved in 1.Conclusion Transumbilical thoracic sympathectomy with ultrathin flexible endoscope is a safe and effective option for women patients with severe palmar hyperhidrosis,which provides excellent cosmetic outcomes.