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- Transthoracic Endoscopic Sympathectomy for Treatment of Hyperhidrosis Palmaris
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頁籤選單縮合
題名 | Transthoracic Endoscopic Sympathectomy for Treatment of Hyperhidrosis Palmaris=手多汗之內視鏡手術治療 |
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作者 | 璩大成; 施培國; 吳浚明; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 13:3 1997.03[民86.03] |
頁次 | 頁162-168 |
分類號 | 415.656 |
關鍵詞 | 手多汗; 內視鏡手術治療; Endoscopic sympathectomy; Hyperhidrosis palmaris; Plantaris; |
語文 | 英文(English) |
中文摘要 | 為研究使用經胸腔內視鏡施行第二胸交感神經幹截斷術治療手汗症之效果,統計在民國80年6月至民國81年6月間治療之手汗症病例共108例,所有病人均以經胸腔內視鏡施行兩側第二交感神經切除術,並完成一年以上之追蹤報告。病人男女比例相當,年齡自10歲至61歲不等,平均為25歲。而51%之病人有家族史,73%自孩提時代即已發病。89%合併腳多汗症,術中將兩側第二交感神經切除後,手溫之上升與術前之手溫呈相反之線性相關(r=-081,p<0.005)。術後所有手汗的病人都有改善,68%病人的腳汗現象有程度不同之改善。本列無神經方面之併發症。87%的病人有程度不等之代償性出汗,以背部及腿部好發。我們報告經胸腔內視鏡手術之方法及其長期追蹤之結果。經胸腔內視鏡手術之手術時間較短,住院天數較少,且有較美觀之傷口,為治療手多汗症之有效方法。 |
英文摘要 | The objective of this study was to determine the effectiveness of modified transthoracic endoscopic sympathectomy (TES) being used in our institute for treatment of hyperhidrosis Palmaris (HP). One hundred and eight cases of HP were treated using TES from June 1991 to June 1992. All underwent TES bilaterally. Palmar temperature was monitored during the operation as an indicator of a successful lesioning of the sympathetic trunk at the T2 level. The ages of the patients ranged from 10 to 61 years. Fifty-one percent of these patients had a positive family history. Seventy-three percent had onset during childhood. Eighty-nine percent had excessive plantar sweating in addition to hyperhidrosis palmaris. The increase in palmar temperature after lesioning the sympathetic trunk was in versely related to the preoperative temperature of the palms (r=0.81, p<0.005). Our treatment resulted in improvement of palmar sweating in all of the patients. Decrease of plantar sweating was also noted in 68% of the patients at follow up. No neurological deficits were found. Transient post-operative chest discomfort and compensatory hyperhidosis (87%) were the most common complications. TES is an effective method for treating patients with HP, with a shorter operation time, fewer hospital days, and a better cosmetic result, as compared with the dorsasl approach for thoracic sympathectomy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。