[1]许胜水,段明科,吴艺根,等.二孔法胸腔镜下T3胸交感神经链切断术治疗手汗症（附52例报告）[J].中国微创外科杂志,2010,10(6):499-500.
　Xu Shengshui,Duan Mingke,Wu Yigen,et al.Endoscopic Thoracic T3 Sympathectomy with Two Trocars for Palmar Hyperhidrosis: Report of 52 Cases[J].Chinese Journal of Minimally Invasive Surgery,2010,10(6):499-500.
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二孔法胸腔镜下T3胸交感神经链切断术治疗手汗症（附52例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
10
期数:
2010年6期
页码:
499-500
栏目:
出版日期:
2010-07-01

文章信息/Info

Title:
Endoscopic Thoracic T3 Sympathectomy with Two Trocars for Palmar Hyperhidrosis: Report of 52 Cases
作者:
许胜水; 段明科; 吴艺根; 熊伟; 兰俊斌
厦门市第二医院胸心外科，厦门361021
Author(s):
Xu Shengshui;  Duan Mingke;  Wu Yigen;  et al.
Department of Thoracic and Cardiovascular Surgery, Xiaman Sencond Municipal Hospital, Fujian Province, Xiamen 361021, China
关键词:
二孔法; 胸腔镜; 交感神经切断术; 手汗症
Keywords:
Two trocars; Thoracoscopy; Sympathectomy; Palmar hyperhidrosis
分类号:
R655;R758.74+3
文献标志码:
A
摘要:
目的总结二孔法胸腔镜下T3胸交感神经链切断术治疗手汗症52例的临床经验。方法2006年8月~2008年12月采用电视胸腔镜T3胸交感神经链切断术治疗手汗症。以掌侧皮肤温度较术前升高1～3 ℃以上及干燥温暖为有效，手掌皮肤温度较术前增加﹤1 ℃且仍为潮湿者为无效。结果52例手术均获成功，术后患者手掌多汗症状消失，有效率为100%，术后掌温升高（2.6±0.7）℃。50例随访1.5～24个月，平均14.5月，无一例复发及严重代偿性多汗，轻度代偿性多汗6例，占12%（6/50）。结论二孔法电视胸腔镜下T3胸交感神经链切断术是治疗手汗症微创、安全和有效的方法。
Abstract:
ObjectiveTo summarize our experience in endoscopic thoracic T3 sympathectomy (ETS) on 52 cases of palmar hyperhidrosis. MethodsFrom April 2006 to December 2008, 52 patients with palmar hyperhidrosis received T3 sympathectomy by using thoracoscopy in our hospital. Effective was defined by the injured hands were dry and warm with the skin temperature 1-3 ℃ (or more) higher than that before the operation; otherwise it was considered as failure.ResultsThe operation was competed successfully in all the 52 patients with the symptoms of palmar hyperhidrosis disappeared and the skin temperature increased by a mean of (2.6±0.7) ℃. Among the patients, followup was achieved for 1.5 to 24 months (mean, 14.5 months) in 50 cases. During the period, no recurrence or severe compensatory hyperhidrosis occurred; six patients showed mild compensatory hyperhidrosis accounting for 12% of the 50 cases (6/50).ConclusionEndoscopic thoracic T3 sympathectomy is a safe, effective, and minimally invasive procedure for palmar hyperhidrosis.

参考文献/References:

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更新日期/Last Update: 2013-07-16