| T2-4与T3-4交感神经链切断治疗手足多汗症术后代偿性出汗比较 |
| |
| 引用本文： | 陈惠国,黄邵洪,谷力加,廖洪映,张健,李昀,蔡松旺.T2-4与T3-4交感神经链切断治疗手足多汗症术后代偿性出汗比较[J].新医学,2011,42(11):714-716. |
| |
| 作者姓名： | 陈惠国 黄邵洪 谷力加 廖洪映 张健 李昀 蔡松旺 |
| |
| 作者单位： | 中山大学附属第三医院胸心外科,510630 |
| |
| 摘 要： | 目的:通过比较胸腔镜下T2-4与T3-4交感神经链切断治疗手足多汗症术后代偿性出汗发生情况,探讨其发生的可能机制.方法:手足多汗症患者146例,按不同手术方式分为T2-4组(行T2-4水平交感神经链切断术,共66例)与T3-4组(行T3-4水平交感神经链切断术,共80例).比较两组术后第1日、第6个月手术效果以及代偿性出汗发生部位和严重程度.结果:术后两组手汗治愈率100％,最常见代偿性出汗部位是背部和胸部.术后第1日T2-4组代偿性出汗发生率明显高于T3-4组(39％对比21％,P＜0.05),T2-4组出现2例重度代偿性出汗,T3-4组无重度者.术后6个月T2-4组代偿性出汗发生率依然明显高于T3-4组24％ (16/66)对比11％ (9/80),P＜0.05].T2-4组仍有1例重度代偿性出汗患者.结论:降低胸交感神经链切断位置可减少代偿性出汗发生率和严重程度,T3-4切断术是一种较为理想的手术方式.代偿性出汗可能随时间有缓解趋势.
|
| 关 键 词： | 手足多汗症 代偿性出汗 交感神经切断术 |
The comparison of compensatory sweating after T_(2-4) and T_(3-4) endoscopic thoracic sympathectomy for the treatment of palmar hyperhidrosis |
| |
| CHEN Hui-guo
,
HUANG Shao-hong
,
GU Li-jia
,
LIAO Hong-ying
,
ZHANG Jian
,
LI Jun
,
CAI Song-wang.The comparison of compensatory sweating after T_(2-4) and T_(3-4) endoscopic thoracic sympathectomy for the treatment of palmar hyperhidrosis[J].New Chinese Medicine,2011,42(11):714-716. |
| |
| Authors: | CHEN Hui-guo HUANG Shao-hong GU Li-jia LIAO Hong-ying ZHANG Jian LI Jun CAI Song-wang |
| |
| Institution: | CHEN Hui-guo,HUANG Shao-hong,GU Li-jia,LIAO Hong-ying,ZHANG Jian,LI Jun,CAI Song-wang.Department of Thoracic Surgery,The Third Affiliated Hospital of SUN Yat-sen University,Guangzhou,510630,China |
| |
| Abstract: | Objective:To compare compensatory sweating after T2-4 and T3-4 endoscopic thoracic sympathectomy for the treatment of palmar hyperhidrosis,and thus to investigate the potential mechanism of the occurrence of compensatory sweating.Methods:One hundred and forty-six patients with primary palmar hyperhidrosis were divided into two groups:66 with T2-4 sympathectomy(T2-4 group) and 80 with T3-4 sympathectomy(T3-4 group).The effects of operation,compensatory sweating location and severity one day and 6 months afte... |
| |
| Keywords: | Palmar hyperhidrosis Compensatory sweating Sympathectomy |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
