|T-3/T-4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis|
|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|
|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|
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.
|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
|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.|
|APA||Yang Jie.,Tan Jia-ju.,Ye Guo-lin.,Gu Wei-quan.,Wang Jun.,...&Chinese Registry Palmar Hyperhi.(2007).T-3/T-4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis.CHINESE MEDICAL JOURNAL,120(18),1574-1577.|
|MLA||Yang Jie,et al."T-3/T-4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis".CHINESE MEDICAL JOURNAL 120.18(2007):1574-1577.|