北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第二临床医学院  > 胸外科  > 期刊论文
学科主题: 临床医学
题名:
Surgical treatment of primary palmar hyperhidrosis: a prospective randomized study comparing T3 and T4 sympathicotomy
作者: Liu, Yanguo1; Yang, Jie; Liu, Jun1; Yang, Fan1; Jiang, Guanchao1; Li, Jianfeng1; Huang, Yuqing2; Wang, Jun1
关键词: Palmar hyperhidrosis ; Sympathicotomy ; Sympathectomy ; Surgery ; Thoracoscopy
刊名: EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
发表日期: 2009-03-01
DOI: 10.1016/j.ejcts.2008.10.048
卷: 35, 期:3, 页:398-402
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems ; Respiratory System ; Surgery
研究领域[WOS]: Cardiovascular System & Cardiology ; Respiratory System ; Surgery
关键词[WOS]: THORACOSCOPIC SYMPATHECTOMY ; TRANSTHORACIC SYMPATHECTOMY ; RIGHT OPERATION ; UPPER-LIMB ; BLOCK ; DENERVATION ; GANGLION ; LOOKING
英文摘要:

Objective: Endoscopic thoracic sympathetic surgery was effective for palmar hyperhidrosis (PH), but side effects such as compensatory sweating and over dry hands were common. A multiple centers prospective randomized study was designed to compare the efficiency and side effects of T3 and T4 sympathicotomy in the treatment of PH. Methods: From September 2004 to February 2006, 141 consecutive patients with PH were randomized into two therapeutic groups: group T3 underwent T3 sympathicotomy (n = 68) and group T4 underwent T4 sympathicotomy (n = 73). Improvement of hand sweating, side effects like compensatory sweating or over dry hands, and satisfactory rate of the patients were recorded. Results: There were 78 mates and 63 females. The median age was 26.9 years. The two groups were comparable in gender, age, severity of sweating and average period of follow-up. All operations were successful with no severe complications or perioperative mortality. A 17.8 +/- 7.9 month follow-up showed that palmar sweating improved in all patients and the effective rate was 100%. Mild moist hands occurred more frequent in group T4 than in group T3 (59.4% vs 25.8%, p < 0.0001). Most involved patients were ′very satisfied′ with this result except for four patients (5.8%) in group T4; incidences of compensatory sweating and over dry hands were both lower in group T4 than in group T3 (56.5% vs 77.4%, p = 0.011 and 1.4% vs 12.9%, p = 0.013, respectively). Moderate compensatory sweating (CS) occurred in 14.5% in group T3 and 2.9% in group T4 (p = 0.017). ′Very satisfied′ rate was higher in group T4 than in group T3 (p < 0.0001) while ′partially satisfied′ rate was comparable between the two groups. Conclusion: T3 and T4 sympathicotomies are both effective for the treatment of PH. T4 sympathicotomy, decreases the side effects but do not compromise the therapeutic effects, and should be the method of choice. (C) 2009 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

语种: 英语
WOS记录号: WOS:000264971600004
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60298
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 1.Peking Univ, Dept Thorac Surg, Peoples Hosp, Ctr Thorac Mini Invas Surg, Beijing 100044, Peoples R China
2.Beijing Haidian Hosp, Dept Thorac Surg, Beijing 100080, Peoples R China

Recommended Citation:
Liu, Yanguo,Yang, Jie,Liu, Jun,et al. Surgical treatment of primary palmar hyperhidrosis: a prospective randomized study comparing T3 and T4 sympathicotomy[J]. EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY,2009,35(3):398-402.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[Liu, Yanguo]'s Articles
[Yang, Jie]'s Articles
[Liu, Jun]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[Liu, Yanguo]‘s Articles
[Yang, Jie]‘s Articles
[Liu, Jun]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit
所有评论 (0)
暂无评论
 
评注功能仅针对注册用户开放,请您登录
您对该条目有什么异议,请填写以下表单,管理员会尽快联系您。
内 容:
Email:  *
单位:
验证码:   刷新
您在IR的使用过程中有什么好的想法或者建议可以反馈给我们。
标 题:
 *
内 容:
Email:  *
验证码:   刷新

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace