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題名 | Thermographic Study of Palmar and Facial Skin Temperature of Hyperhidrosis Patients before and after Thoracic Sympathectomy=手汗症病人胸腔交感神經切除手術前後手掌及臉部皮膚溫度變化之研究 |
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作者姓名(中文) | 蔡瑞章; 林慶美; 林仙養; 高明見; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 99:6 2000.06[民89.06] |
頁次 | 頁466-471 |
分類號 | 416.615 |
關鍵詞 | 手汗症; 胸腔交感神經切除手術; 手掌; 臉部; 皮膚溫度變化; Hyperhidrosis; Sudomotor activity; Vasomotor activity; Sympathectomy; Thermographic measurement; |
語文 | 英文(English) |
英文摘要 | Purpose: The purpose of this study was to investigate the roles of the second thoracic sympathetic segment in the sympathetic innervation of the hands and face, and to compare skin temperature changes in the palms, fingers, face, and neck of palmar hyperhidrosis (PH) patients before and after endoscopic thoracic sympathectomy. Methods: Twenty-two patients, 14 women and eight men, with severe PH were treated with endoscopic ablation of the T2 segment. The skin temperatures of the hands, neck, and face were assessed by infrared thermography both before and after operation. Results: All obtained satisfactory relief of PH. Before sympathectomy, thermography revealed that the palmar skin temperature (PST) was significantly lower than the facial temperature by 1.�z (paired t-test, p < 0.005). After sympathectomy, thermography showed significant elevations in temperature mainly of the thenars, palms, digits, and nose, but not of the forehead, mandible, or neck (ANOVA, p < 0.05 with Bonferroni t-test). The variations in PST among PH patients were much greater preoperatively than postoperatively. More prominent postoperative PST elevation was found in PH patients with lower preoperative PST (r = 0.898, p < 0.001). Conclusions: These findings demonstrate that the T2 segment is the key source of sympathetic innervation to the hand and that the T2 segment contributes only trivial sympathetic innervation to the face. The results of the present thermography studies offer descriptive information about the autonomic innervation of the upper thoracic sympathetic trunk. |
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