经乳晕单孔胸腔镜交感神经切断术治疗手汗症

发布时间：2018-03-01 09:38

本文关键词： 胸腔镜胸交感神经切断术手汗症　出处：《中国微创外科杂志》2017年10期 　论文类型：期刊论文

【摘要】：目的探讨经乳晕单孔胸腔镜交感神经切断术治疗手汗症的可行性。方法 2013年1月~2014年1月行经乳晕单孔胸腔镜交感神经切断术12例,术前采用多汗症严重程度量表进行多汗症分级,其中3级4例,4级8例。使用5 mm胸腔镜,经乳晕作一6 mm切口,用电钩行T3、T4胸交感神经链切断术。结果 12例手术均顺利完成,手术时间(18.2±4.5)min,术中出血量5 ml,术后住院1~2日。12例术后随访12~18个月,平均14.5月,术后评级1级5例,2级7例。一过性代偿性多汗3例。结论经乳晕单孔胸腔镜胸交感神经切断术治疗手汗症具有可行性,但例数有限,有待进一步论证。
[Abstract]:Objective to investigate the feasibility of single hole thoracoscopic sympathectomy for the treatment of palmar hyperhidrosis. Methods from January 2013 to January 2014, 12 patients with palmar hyperhidrosis underwent thoracoscopic sympathectomy through areola. Preoperative hyperhidrosis severity scale was used to grade hyperhidrosis, of which 4 cases were grade 3, 4 cases were grade 4, 5 mm thoracoscope and 6 mm incision via areola. Results the operation was performed successfully in 12 cases, the operative time was 18.2 卤4.5 min, the blood loss was 5 ml, and the postoperative hospitalization was 1 ~ 2nd. 12 cases were followed up for 12 ~ 18 months (mean 14.5 months). There were 5 cases with grade 1 and 7 cases with grade 2 after operation and 3 cases with transient compensatory hyperhidrosis. Conclusion it is feasible to treat palmar hyperhidrosis by thoracoscopic thoracoscopic sympathectomy via areola, but the number of cases is limited, which needs further demonstration.
【作者单位】：江苏省昆山市第一人民医院胸外科;
【基金】：昆山市科技计划(KS1224)
【分类号】：R655

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