Influence of T3 or T4 sympathicotomy for palmar hyperhidrosis

被引：36

作者：

Kim, Won Oak ^{[1
]}

Kil, Hae Keum ^{[1
]}

Yoon, Kyung Bong ^{[1
]}

Yoon, Duck Me ^{[1
]}

Lee, Jung Soo ^{[1
]}

机构：

[1] Yonsei Univ, Coll Med, Anesthesia & Pain Res Inst, Dept Anesthesiol & Pain Med, Seoul, South Korea

来源：

AMERICAN JOURNAL OF SURGERY | 2010年 / 199卷 / 02期

关键词：

Hyperhidrosis; Sympathicotomy; Thoracic surgery; Video-assisted thoracoscopic surgery; THORACOSCOPIC SYMPATHECTOMY; COMPENSATORY HYPERHIDROSIS; PLANTAR HYPERHIDROSIS; LEVEL; CLASSIFICATION; RESECTION; SEVERITY; SURGERY; BLOCK; T-3;

D O I：

10.1016/j.amjsurg.2008.12.024

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: This retrospective study aimed to compare the efficacy of video-assisted thoracoscopic sympathicotomy at the T3 or T4 level in the treatment of palmar hyperhidrosis. METHODS: Patients were operated on for palmar hyperhidrosis from April 2004 to December 2007, and classified as the T3 (n = 56) or T4 (n = 63) sympathicotomy group. RESULTS: The rate of dryness and compensatory hyperhidrosis (CH) was significantly lower in the T4 sympathicotomy group than the T3 group (P < .01). Satisfaction rate, recurrence, and improvement of plantar sweating were of no statistical significance in either group. CONCLUSIONS: Although both sympathicotomies were effective, safe, and minimally invasive methods for the treatment of palmar hyperhidrosis, T4 appeared to be a more optimal technique with less CH. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：166 / 169

页数：4

共 17 条

[1] Compensatory hyperhidrosis after sympathectomy: Level of resection versus location of hyperhidrosis [J].