胸腔镜下胸交感神经干切断术治疗多汗症并发症的预防

目的：总结10例胸腔镜下胸交感神经链切断术治疗多汗症并发症的预防和提高手术成功率的经验。方法：自2006年10月-2007年2月，10例多汗症患者经电视胸腔镜行2-4交感神经链切断术。男6例，女4例，平均年龄25．2岁（10岁-50岁）。术中均用电凝钩烧灼切断胸2—4交感神经干。结果：全组10例多汗症患者经交感神经链切断术后多汗症症状消失。1例出现代偿性多汗。全组无手术死亡和严重并发症。结论：胸腔镜下胸交感神经链切断术是治疗多汗症最有效的微创治疗方法。其手术技巧和并发症的预防对治疗效果至关重要。

The precaution of complication in thoracoscopic sympathectomy for primary hyperhidrosis

Objective To evaluate the efficacy and safety of thoracoscopic sympathectomy for primary hyperhidrosis. Method From October 2006 to February 2007, 10 cases of the second to four thoracic sympathectomies were performed. There were 6 males and 4 females with a mean age of 25.2 years(from 10 to 50 years). Results The symptoms disappeared completely in all patients immediately after the operation. In all 10 patients had a satisfactory results, without recurrence of hyperhidrosis. Conclusion Thoracoscopic sympathectomy is the most effective and minimally invasive treatment for hyperhidrosis. The operative skill and the prevention of complication are two important points to the successful therapeutic effective.