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目的 探讨经乳晕单孔胸腔镜下胸交感神经链切断术(ETS)治疗男性手汗症的安全可行性及美容效果.方法2015年5月—2018年1月,对23 例男性手汗症采用经乳晕单孔路径行ETS治疗.结果 23 例均在胸腔镜下顺利完成手术,平均随访15 个月,手汗症状全部消失,9 例患者有轻度代偿性多汗,均在术后半年内恢复到术前水平,所有患者均对手术疗效和美观程度非常满意.结论 ETS治疗男性手汗症安全有效,更符合美容需求,值得在临床推广应用.“,”Objective To assess the cosmetic effect and safety of periareola single-hole endoscopic thoracic sympathectomy for palmar hyperhidrosis in male. Methods A retrospective review of 23 male palmar hyperhidrosis patients undergoing areola single-hole endoscopic thoracic sympathectomy between May 2015 and January 2018 was conducted. Results The procedure was completed successfully in all the 23 patients. The mean follow-up period was 15 months, all the patients showed dry palms without hyperidrosis. Mild compensatory sweating occurred in 9 patients and recovered within 6 months. All patients were satisfied with the treatment and the cosmetic effects. Conclusion Periareola single-hole endoscopic thoracic sympathectomy is a safe, convenient, cosmetic and effective procedure for male palmar hyperhidrosis patients. It is worthy of wider popularization.