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学科主题: 临床医学
题名:
Sympathicotomy for Palmar Hyperhidrosis: The Association between Intraoperative Palm Temperature Change and the Curative Effect
作者: Liu, Yanguo; Li, Hao; Zheng, Xia; Li, Xiao; Li, Jianfeng; Jiang, Guanchao; Wang, Jun
关键词: palmar hyperhidrosis ; sympathicotomy ; temperature ; thoracoscopy
刊名: ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY
发表日期: 2015
DOI: 10.5761/atcs.oa.14-00270
卷: 21, 期:4, 页:359-363
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems ; Surgery
研究领域[WOS]: Cardiovascular System & Cardiology ; Surgery
关键词[WOS]: SKIN TEMPERATURE ; SYMPATHECTOMY ; BLOCK ; T4
英文摘要:

Purpose: To investigate the association between intraoperative palm temperature change and the curative effect of sympathicotomy.

Methods: 49 patients with palmar hyperhidrosis were treated with bilateral endoscopic sympathicotomy. Ipsilateral palm temperature was monitored before and at 3-5 min increments after the sympathetic trunk was transected. The maximum temperature elevation (Tmax) was calculated and used to evaluate the effect on postoperative cure rates.

Results: Forty-nine patients underwent 98 sympathicotomies. There were 77 T4 sympathicotomies, 15 T4 + T5 sympathicotomies, and six T3 sympathicotomies due to pleural adhesions or neurovascular proximity. The Tmax was <= 1 degrees C in 49 (50.0%), 1-1.5 degrees C in 17 (17.3%), and >1.5 degrees C in 32 (32.7%) palms. Ninety-two palms of 46 patients were followed with complete efficacy, and three patients were lost to follow up. Cure was achieved in 86 palms (93.4%). Of the 71 palms which underwent T4 sympathicotomy, cure was achieved in 67 palms (94.3%). In those palms which did not achieve cure, the Tmax was less than 1 degrees C in each case, while in palms with a Tmax <= 1 degrees C, 32 of 36 (88.9%) were cured.

Conclusion: There is an association between intraoperative palmar temperature change and curative effect. However, palmar temperature change cannot be used to predict cure or guide surgical approach.

语种: 英语
WOS记录号: WOS:000359737600010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/65880
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: Peking Univ, Peoples Hosp, Dept Thorac Surg, Beijing 100044, Peoples R China

Recommended Citation:
Liu, Yanguo,Li, Hao,Zheng, Xia,et al. Sympathicotomy for Palmar Hyperhidrosis: The Association between Intraoperative Palm Temperature Change and the Curative Effect[J]. ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY,2015,21(4):359-363.
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