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目的 分析电视纵隔镜治疗原发性手汗症的可行性和临床疗效。方法 应用电视纵隔镜行胸交感神经链切断术治疗原发手汗症86例，病例均采用双腔气管插管全麻，灼断位于第2、3、4肋骨头表面的交感神经节间束，同时电灼T2、T3、T4交感神经节，术中监测双手温度。结果 均顺利完成手术，术后双手手掌温度升高1.5℃～2℃，无术中大出血、心律失常、转开胸。术后并发症包括皮下气肿、切口感染及切口愈合延迟。结论 电视纵隔镜下部分胸交感神经切断术治疗原发性手汗症是理想、安全、有效的方法。
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临床研究
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更新时间：2015-07-27
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电视纵隔镜治疗手汗症的临床分析
Analysis of video-mediastinoscopy for the treatment of palmar hyperhidrosis
微创医学 201503期 页码：335-337
作者机构：（江西中医药大学附属医院胸外科，南昌市330006）
基金信息：作者简介：刘小雄（1974～），男，硕士，副主任医师，研究方向：胸部疾病的外科治疗。（收稿日期：20150311修回日期：20150504）
- 中文简介
- 英文简介
- 参考文献
Objective To evaluate the feasibility and efficacy of videomediastinoscopy for the treatment of primary palmar hyperhidrosis. Methods 86 patients of primary palmar hyperhidrosis were treated by videomediastinoscopic thoracic sympathectomy. Doublelumen endotracheal intubation was conducted in all of cases. Dissection was performed with electrocautery in the sympathetic chain at the T3、T4、T5 ribs. Then the T3、 T4、T5 ganglions were transected. The temperature of hands was monitored during the operation. Results The operation was completed uneventfully in all cases. The postoperative temperature of hands rose by 1.5-2℃. There was no obvious intraoperative blood loss, arrhythmia and conversion to open operation. The postoperative complications included cutaneous emphysema, incision infection and delayed wound healing. Conclusions Partial thoracic sympathectomy under videomediastinoscopy guidance is an ideal, safe and effective approach for primary palmar hyperhidrosis.
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