单腔气管插管麻醉胸腔镜下单孔法同期切断双侧胸交感神经链两种不同术式治疗手汗症术后并发症的比较

发布时间：2018-01-01 00:03

本文关键词：单腔气管插管麻醉胸腔镜下单孔法同期切断双侧胸交感神经链两种不同术式治疗手汗症术后并发症的比较　出处：《中外医学研究》2016年18期 　论文类型：期刊论文

【摘要】：目的:利用单腔气管插管麻醉进行胸腔镜下单孔法同期切断双侧胸交感神经链T4单处与T3、T4双处两种术式,通过对比,探讨两种术式的安全性。方法:选择笔者所在医院2013年1月-2014年1月收治的原发性手汗症患者36例为研究对象,应用单腔管麻醉胸腔镜下施行同期切断双侧胸交感神经链两种不同术式(T4单处及T3、T4双处切断),观察并对比其术后并发症的发生情况。结果:36例均在单腔气管插管麻醉胸腔镜下完成单孔手术,术后手掌多汗症状消失,术后无严重并发症。T4切断组患者代偿性多汗发生率明显优于T3、T4切断组,差异有统计学意义(P0.05)。结论:单腔气管插管麻醉胸腔镜下单孔法同期切断双侧胸交感神经链T4或T3、T4均为安全术式。而T4胸交感神经链切断并发症更少,更安全。
[Abstract]:Objective: to use single cavity tracheal intubation anesthesia under thoracoscope to cut off bilateral thoracic sympathetic nerve chain T4 at the same time and T3N T4 at the same time. Methods: from January 2013 to January 2014, 36 patients with primary palmar hyperhidrosis in our hospital were selected as the study objects. Two different methods of transection of bilateral thoracic sympathetic nerve chain were performed under thoracoscope under single lumen anesthesia. Results all 36 cases underwent single hole operation under single cavity tracheal intubation anesthesia and thoracoscopy, and the symptoms of hyperhidrosis disappeared after operation. The incidence of compensatory hyperhidrosis in T4 group was significantly higher than that in T3 + T4 group. Conclusion: under the single cavity tracheal intubation anesthesia, the single hole method can cut the bilateral thoracic sympathetic nerve chain T4 or T3 simultaneously. T 4 is safe, and T 4 thoracic sympathetic nerve chain transection has less complications and is more safe.
【作者单位】：湛江中心人民医院;
【分类号】：R655
【正文快照】： 笔者所在医院2013年1月-2014年1月对36例原发性手汗症患者施行单腔气管插管麻醉胸腔镜下单孔法同期切断双侧胸交感神经链治疗,疗效满意,现报道如下。1资料与方法1.1一般资料选择笔者所在医院2013年1月-2014年1月收治的原发性手汗症患者36例,其中男16例,女20例,年龄14~28岁,平

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