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胸腔镜下胸交感神经干切断术治疗手汗症的临床研究
引用本文:林锋,王玮,梁岳培,宋剑非,李安桂,杜振宗,郑民,李牧.胸腔镜下胸交感神经干切断术治疗手汗症的临床研究[J].黑龙江医药,2009,22(5):633-635.
作者姓名:林锋  王玮  梁岳培  宋剑非  李安桂  杜振宗  郑民  李牧
作者单位:桂林医学院附属医院胸心外科,广西,桂林,541001
摘    要:目的:总结胸腔镜胸交感神经干切断术25例的临床经验。方法:分析2006年7月-2008年2月经胸腔镜胸交感神经干,12-T4。切断术治疗手汗症的临床资料。结果:25例手术均获成功,术后患者手掌多汗症状消失,双手转为干燥温暖状,术后掌温升高(0.5-2)度;25例术后随访1-9个月,无一例复发,术后转移代偿性多汗2例。结论:胸交感神经干切断术是治疗手汗症安全、微创和有效的方法。

关 键 词:胸腔镜  胸交感神经  手汗症

Clinical Study on Treatment of Palmar Hyperhidrosis Under Thoracoscope by Endoscopic Thoracic Sympathectomy
Institution:Lin Feng, et al (Department of Cardiothoracic surgery,iliated Hospital of guilin Medical College Guilin 541001 ,China)
Abstract:Objective: To summarize the experience of 10 eases of endoscopic thoracic sympatheetomy ( ets ). Methods: clinical materials of T3 -T4 sympatheetomy under thoracoseope for treating palmar hyperhidrosis from July 2006 to October 2006 were analysed. Results:All the 10 eases of operation were successfully completed. Symptoms of hyperhidrosis vanished with both hands dry and warm in all the patients. Plamar temperature increased by a mean of ( 0. 5 - 2 )℃ after operation. Follow -up observations in 10 eases found no recurrence. Compensatory hyperhidrosis was found in 1 eases. Conclusion: Endoscopic thoracic sympatheetomy is a safe, effective, an micro - invasive treatment for palmar hyperhidrosis.
Keywords:Thoraeoseope  Sympathetic nerve  Palmar hypcrhidrosis
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