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学科主题: 临床医学
题名:
T-3/T-4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis
作者: Yang Jie; Tan Jia-ju; Ye Guo-lin; Gu Wei-quan; Wang Jun; Liu Yan-guo; Chinese Registry Palmar Hyperhi
关键词: thoracic sympathicotomy ; palmar hyperhidrosis ; compensatory sweating
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2007-09-20
卷: 120, 期:18, 页:1574-1577
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: THORACOSCOPIC SYMPATHECTOMY ; BLOCK
英文摘要:

Background Compensatory sweating (CS) is one of the most common postoperative complications after thoracic sympathectomy, sympathicotomy or endoscopic sympathetic block (ESB) for palmar hyperhidrosis. This study was conducted to examine the relevance between CS and the sympathetic segment being transected in the surgical treatment of palmar hyperhidrosis, and thus to detect the potential mechanism of the occurrence of CS.

Methods Between October 2004 and June 2006, 163 patients with primary hyperhidrosis were randomly divided into two groups, T-3 sympathicotomy (78 patients) and T-4 sympathicotomy(85), who were operated upon under general anesthesia via single lumen intubation and intercostal video-mediastinoscopy (VM).

Results No morbidity or mortality occurred. Palmar hyperhidrosis was cured in all patients. Follow-up(mean (13.8 +/- 6.2) months) showed no recurrence of palmar hyperhidrosis. The difference of rates of mild CS in groups T-3 and T-4 was of no statistical significance. The rate of moderate CS was significantly lower in group T-4 than in group T-3. No severe CS occurred.

Conclusion The rates of occurrence and severity of CS are lowered with the lower sympathetic chain being transected.

语种: 英语
WOS记录号: WOS:000249796300003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/56999
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

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作者单位: 1.First Peoples Hosp Fushan, Dept Thorac Surg, Fushan 528000, Peoples R China
2.Beijing Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China

Recommended Citation:
Yang Jie,Tan Jia-ju,Ye Guo-lin,et al. T-3/T-4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis[J]. CHINESE MEDICAL JOURNAL,2007,120(18):1574-1577.
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