|
|
|
| Clinical effect of T3-4sympathetic nerve chain resection under single-hole thoracoscope in the treatment of primary hand sweat |
| CHEN Hai-jun |
| Department of Cardiothoracic Surgery,Luoding People′s Hospital of Guangdong Province,Luoding 527200,China |
|
|
|
|
Abstract Objective To investigate the clinical effect of T3-4sympathetic nerve chain resection under single-hole thoracoscope in the treatment of primary hand sweat.Methods Thirty-one patients with primary hand sweat treated in our hospital from December 2013 to December 2018 were selected as research objects,they were divided into observation group (15 cases) and control group (16 cases) according to different treatment methods.The control group received double-hole thoracoscopy surgery,and the observation group received single-hole thoracoscopy T3-4sympathectomy.The hospitalization time,intraoperative blood loss,visual analogue scale (VAS) score,high sensitivity C-reactive protein(hs-CRP),interleukin-6 (IL-6) and cortisol levels before and after surgery were compared between the two groups.Results The hospitalization time of the observation group was shorter than that of the control group,and the intraoperative blood loss was less than that of the control group,the VAS score at 2,12 h,and 24h after surgery was lower than that of the control group,the differences were statistically significant (P<0.05).The serum hs-CRP,IL-6,and cortisol levels in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The single-hole thoracoscopic T3-4sympathetic nerve chain resection for the treatment of primary hand sweat reduces the hospitalization time,reduces the intraoperative blood loss,inflammatory factors and cortisol levels,and alleviates the pain of patients.It is worthy of clinical promotion and application.
|
|
|
|
|
|
| [1] |
张文雄，徐建军，熊利华.单孔电视胸腔镜下交感神经切断术治疗手汗症48例临床分析[J].中国胸心血管外科临床杂志，2015，22（3）：220-224.
|
| [2] |
史宏灿，束余声，石维平，等.单孔法胸腔镜下交感神经链切断术治疗原发性手汗症35例报告[J].中国微创外科杂志，2012，12（1）：50-52.
|
| [3] |
聂良明，王海涛，许林海.电视胸腔镜治疗手汗症随访分析[J].全科医学临床与教育，2015，13（2）：197-199.
|
| [4] |
邬冬强，王洁磊，张志豪，等.胸腔镜下交感神经切断术治疗原发性手汗症63例临床分析[J].武警后勤学院学报（医学版），2014，23（3）：222-223.
|
| [5] |
林辉.电视胸腔镜下单孔法与双孔发胸交感神经链切断术治疗原发性手汗症的对比[D].福州：福建医科大学，2013.
|
| [6] |
王雯，吴光勤，王蓉，等.软式内镜外科技术在胸部疾病中的临床应用[J].福建医科大学学报，2014，48（2）：116-120.
|
| [7] |
徐世斌，马冬春，徐美清，等.胸腔镜下单孔胸交感神经链切断术治疗原发性手汗症[J].立体定向和功能性神经外科杂志，2012，25（2）：65-67.
|
| [8] |
张奇，尹哲，张智，等.单操作孔胸腔镜下T3胸交感神经链切断术治疗手汗症42例[J].重庆医学，2015，44（3）：393-395.
|
| [9] |
陈丹，吴庆琛，李强，等.单孔胸腔镜下T3交感神经链切断术治疗原发性手汗症[J].重庆医学，2014，43（17）：2192-2193.
|
| [10] |
肖蔼杰，张志辉，林植楷，等.单孔胸腔镜下T4交感神经链切断术治疗原发性手汗症的临床效果观察[J].2014，21（31）：18-22.
|
| [11] |
朱强，蒋仲敏，臧琦，等.“单针孔法”治疗140例原发性手汗症[J].中华胸心血管外科杂志，2014，30（7）：419-421.
|
| [12] |
徐雯，陈成广，王忠军，等.胸腔镜下二孔法胸交感神经链切断术治疗原发性手汗症[J].实用临床医学，2014，15（6）：58-59.
|
| [13] |
陈艾江，严英光，贾翠轻，等.单孔法胸腔镜下T4交感神经链切断术治疗原发性手汗症[J].山东医药，2013，53（27）：70-71.
|
| [14] |
张柯，陈艾江，冯瑞刚，等.单孔法胸腔镜下交感神经链切断治疗原发性手汗症20例临床护理[J].中国美容医学，2012，21（8）：682.
|
| [15] |
蔡松旺，李冬霞，安军，等.不同平面胸交感神经链切断治疗手汗症的前瞻性随机对照研究[J].中华腔镜外科杂志（电子版），2013，6（3）：182-185.
|
|
|
|
