单操作孔胸腔镜下T3胸交感神经链切断术治疗手汗症的临床效果

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Abstract ObjectiveTo study the therapeutic effect of T3 thoracic sympathectomy under single operation port thoracoscope in the treatment of palmar hyperhidrosis.MethodsFrom December 2014 to December 2016,60 patients with palmar hyperhidrosis treated in our hospital were selected as the subjects of this study.According to the random number table method,all patients were divided into the single operation port group and the double operation port group,30 cases in each group.General anesthesia of Dexmedetomidine by double-lumen endotracheal intubation was provided in the two groups.The T3thoracic sympathectomy under thoracoscope was performed in both groups.The therapeutic effects which were estimated from aspects of remission of hand sweating,occurrence of profuse sweating,size of incision,operation time,bleeding,postoperative pain,hospital stay,and incidence of adverse reactions after surgery were evaluated and judged between the two groups.ResultsAll recruited patients were improved after the operation.The size of incision,operation time,bleeding,pain,hospital stay,and occurrence of adverse reactions in the single operation port group were superior to those in the double operation port group,with significant differences(P＜0.05).The incidence of active bleeding in the single operation port group was lower than that in the double operation port group,with significant difference(P＜0.05).There was no significant difference in remission of hand sweating and profuse sweat between the two groups (P＞0.05).ConclusionFor patients with palmar hyperhidrosis,application of T3thoracic sympathectomy under single operation port thoracoscope obtains a remarkable effect.It not only reduce hospital stay,but also lowers down the cost of hospitalization in a small incision and high safety,which is worthy to be applied in clinical practice in future.

Key words： Single operation port Thoracoscope T3thoracic sympathetic chain Amputation Palmar hyperhidrosis

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LIU Hang-hui. Clinical effect of T3thoracic sympathectomy under single operation port thoracoscope in the treatment of palmar hyperhidrosis[J]. 中国当代医药, 2017, 24(33): 30-32.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I33/30

[1]	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，2015，5（3）：393-395.
[2]	李彩伟，朱彦君，李玉华，等.胸腔镜下R4交感神经链联合R3侧枝切断术治疗原发性手汗症[J].安徽医科大学学报，2014，8（6）：792-795.
[3]	沈国义，张奕，黄镇，等.胸腔镜单孔隐蔽切口治疗手汗症30 例[J].中国微创外科杂志，2014，20（1）：66-68.
[4]	陈惠国，罗晓璇，李小军，等.胸腔镜下交感神经链切断术治疗手汗症的远期效果和并发症[J].广东医学，2016，37（z2）：79-82.
[5]	宋永祥，陈成，徐刚，等.两种不同入路单孔胸腔镜T3交感神经链切断术的应用对比研究[J].中国内镜杂志，2016，22（5）：61-64.
[6]	廖绪强，陈民彪，黎亮，等.单孔胸腔镜下T3神经链切断术治疗手汗症 43 例[J].海南医学，2016，27（21）：3561-3562.
[7]	徐彪，吴君旭，周晓，等.T3～4交感神经链切断术治疗手汗症的临床经验[J].中国医师进修杂志，2014，37（2）：24-26.
[8]	邱红丽.胸腔镜下交感神经链切断术治疗手汗症的围手术期护理[J].中国实用神经疾病杂志，2016，19（13）：138-139.
[9]	盛誉，占小安.胸腔镜下不同节段胸交感神经链切断术治疗手汗症的疗效及术后代偿性多汗发生率研究[J].中国医师进修杂志，2014，37（35）：32-34.
[10]	涂远荣，林敏，陈剑锋，等.胸交感神经切断术治疗原发性手汗症2206例：10年结果和分析[J].中国微创外科杂志，2017，17（2）：99-103.
[11]	伊严，杨家恒，崔经乐，等.胸腔镜下不同节段交感神经干切断术治疗手汗症的随机自身对照研究[J].微创医学，2014，9（1）：25-27.
[12]	林敏，涂远荣，陈剑锋，等.两种不同方式的R3胸交感神经切断术治疗手汗症疗效比较[J].中华医学杂志，2014，55（47）：3745-3747.
[13]	袁金权，周建平，杜巍，等.不同体位对单孔胸腔镜下双侧胸交感神经链切断术治疗手汗症的影响[J].微创医学，2017，12（1）：103-105.
[14]	林敏，涂远荣，陈剑锋，等.手汗症患者胸交感神经旁路纤维超微结构的研究[J].中华实验外科杂志，2014，31（10）：2314-2315.
[15]	王沐廷，李锐雄，方忠民，等.针孔胸腔镜下胸交感神经链切断术治疗手汗症的安全性与远期疗效[J].齐齐哈尔医学院学报，2016，37（13）：1681-1683.