专用生活质量评分表在T2～4交感神经链切断术治疗手足多汗症疗效评价中的应用

目的 探讨多汗症专用生活质量评分表在手足多汗症手术疗效评价中的价值.方法 回顾性分析125例手足多汗症患者,手术前后采用多汗症专用生活质量评分表进行评分,记录手术满意度、住院日、手术时间及并发症的发生情况.比较手术前后生活质量评分的差异,并对生活质量评分与手术满意度进行相关性分析.结果 手术后患者生活质量明显改善.采用生活质量评价与采用手术满意度评价的结果是一致的.手术安全、有效,术后没有严重的并发症发生,术后生活质量的改善情况与代偿性多汗是影响手术满意度的重要因素.结论 手术治疗能够大大提高手足多汗症患者的生活质量,多汗症专用生活质量评分表在临床实践中有很大的应用前景.

Abstract：

Objective To evaluate the value of the specific quality of life scale in effect evaluation of T2～4 transection of sympathetic chain to treat hyperidrosis of hand and foot. Methods 125 patients with hyperidrosis of hand and foot who had accepted operation in our department were retrospectively analyzed. These patients were evaluated with the specific QOL scale. The degree of satisfaction, days of stay,time of operation and complications were also recorded. The difference of life quality score was also compared and underwent correlation analysis. Results An obvious improvement of QOL was observed after operation. The same tend could be observed in the degree of satisfaction with the operation. The operation had been proved to be safe and effective. Few serious complication were reported. The alleviation of QOL and compensatory hyperhidrosis dominated the result of degree of satisfaction. Conclusions Operation can improve quality of life of hyperhidrosis patients greatly. The specific QOL questionnaire of hyperhidrosis has a bright future in clinical practice.