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目的:探讨经单孔胸腔镜进行交感神经链切断治疗手汗症的临床效果和经验。方法:对2013年1月至2015年10月阳江市人民医院胸外科收治的96例患有手汗症患者的临床资料进行回顾性研究,患者均在气管插管全麻下进行单孔胸腔镜双侧交感神经链切断术治疗。通过回访及术前术后对比分析其治疗的效果及并发症的发生情况。结果:96例患者的手掌多汗症状均消失,腋窝、脚底多汗症状明显缓解。有6例患者术后躯干出现了轻至中度代偿性多汗的现象,但其症状在术后6~12个月均有缓解,患者均能接受该手术所带来的并发症。术后没有患者出现霍纳综合征等严重的并发症。结论:用单孔胸腔镜交感神经链切断术治疗手汗症相对其他治疗及传统手术具有疗效好、安全可靠,切口隐蔽美观等优点。虽然存在如代偿性多汗、手掌干燥等情况,患者对该些并发症的出现仍较接受。
Objective: To investigate the clinical effect and experience of single-hole thoracoscopic treatment of palmar hyperhidrosis by sympathectomy. Methods: The clinical data of 96 patients with palmar hyperhidrosis who were admitted to Department of Thoracic Surgery, Yangjiang People’s Hospital from January 2013 to October 2015 were retrospectively studied. The patients underwent single-hole thoracoscopy under general anesthesia with endotracheal intubation Treatment of bilateral sympathectomy. Through the return visit and preoperative and postoperative comparative analysis of the treatment effect and the occurrence of complications. Results: The symptoms of hyperhidrosis of the hand in 96 patients disappeared, symptoms of hyperhidrosis in armpit and soles were relieved. Six patients had mild to moderate compensatory hyperhidrosis after the operation, but their symptoms were relieved in 6 to 12 months after operation. All patients were able to accept the complications caused by the operation. No postoperative patients with Horner syndrome and other serious complications. Conclusion: Single-hole thoracoscopic sympathectomy for the treatment of palmar hyperhidrosis compared with other treatments and traditional surgery has good curative effect, safe and reliable, incision concealment and other advantages. Although there are compensatory hyperhidrosis, dry hands and so on, the patient’s acceptance of these complications is still acceptable.