本文關(guān)鍵詞：電視胸腔鏡下單孔法與雙孔法胸交感神經(jīng)鏈切斷術(shù)治療原發(fā)性手汗癥的對比，由筆耕文化傳播整理發(fā)布。

網(wǎng)友wz_198622近日為您收集整理了關(guān)于電視胸腔鏡下單孔法與雙孔法胸交感神經(jīng)鏈切斷術(shù)治療原發(fā)性手汗癥的對比的文檔，希望對您的工作和學(xué)習(xí)有所幫助。以下是文檔介紹：art to finished sewing the skin, without anesthesia andrecovery time) of one trocar group was significantly shorter ((13.4±2.0)min vs (18.3±2.3) min,P<0.01). There were no plications inall patients. Postoperative palm sweating symptoms were disappeared andpalm turned dry and warm . 174 patients were followed up for 1-24months, on average (11.0±7.6) months. One month after surgery, theincidence of incision residual pain of one trocar group was significantlylower than that of two trocars group(25.5% vs 41.6%, P<0.01).34 patientshad appeared various degrees of pensatory sweating,accounting for 19.5% (34/174) in the two groups of patients. 16 patientsof one trocar group had pensatory sweating, accounting for16.2% (16/99).3 patients of one trocar group had pensatorysweating, accounting for 3.0% (3/99). 18 patients of two trocars grouphad pensatory sweating, accounting for 24.0% (18/75).2 patientsof two trocars group had pensatory sweating , accountingfor 2.7% (2/75). The difference between the two groups was notstatistically significant (P> 0.05) .Two groups of patients are satisfiedwith the cosmetic results of the incision. In one trocar group ,patients whofelt very satisfied was accounting for 84.8 % (84 /99) and those feelingsatisfied is accounting for 15.2% ( 15/99 ) .While in two trocars group,patients who felt very satisfied was accounting for 69.3% (52 /75) andthose feeling satisfied is accounting for 30.7% (23 /75) . The satisfactionbetween the two groups is statistically significant(X2= 6.018 , P < 0.05 ).Conclusion Endoscopic thoracic sympathectomy with one trocar forprimary palmar hyperhidrosis is more simple,more safe effective,moreminimally invasive,more beautiful and more worthy clinical promotedapplication.[Key words] Palmar hyperhidrosis;Thoracic sympathectomy;Thoracoscope;one trocar前言原發(fā)性手汗癥(PPH,primary palmar hyperhidrosis)是指支配手部汗腺的交感神經(jīng)興奮性異常升高,導(dǎo)致不受外界溫度影響手部汗腺異常分泌亢進(jìn)的綜合癥[1]。該病具體的發(fā)病機(jī)制至今為止仍然未弄清楚。雖然手汗癥對患者的身體健康無太大影響,但是卻常常因?yàn)榛颊呤植看罅砍龊苟绊懫湔Ｉ睢⒐ぷ骱蜕缃恍袨?同時(shí)也嚴(yán)重地影響了患者的身心健康。因此原發(fā)性手汗癥患者仍應(yīng)該積極進(jìn)行治療。而胸腔鏡下胸交感神經(jīng)鏈切斷術(shù)(ETS , endoscopic thoracicsympathectomy)通過阻斷交感神經(jīng)節(jié)后纖維對手汗癥患者手掌汗腺的支配,使其分泌減少,是目前治療原發(fā)性手汗癥惟一能夠達(dá)到長期有效的方法。其療效穩(wěn)定、持久,在臨床上已取得了良好的效果[2]。本文對2011年01月至2012年12月在福建醫(yī)科大學(xué)附屬第一醫(yī)院行電視胸腔鏡下單孔法胸交感神經(jīng)鏈切斷術(shù)與雙孔法胸交感神經(jīng)鏈切斷術(shù)的患者的臨床資料進(jìn)行了對比分析,比較兩種手術(shù)方法之間的差異,提出了電視胸腔鏡下單孔法胸交感神經(jīng)鏈切斷術(shù)治療原發(fā)性手汗癥的優(yōu)勢,現(xiàn)總結(jié)比較如下。1 資料與方法1.1 病例選擇1.1.1 病例選擇標(biāo)準(zhǔn)Lai 等[3]根據(jù)患者手汗嚴(yán)重程度將其分為 3 度:1.輕度:手掌潮濕;2.中度:手掌出汗時(shí)濕透一只手帕;3.重度:手掌出汗時(shí)呈滴珠狀。我們選擇從 2011 年01 月至 2012 年 12 月在福建醫(yī)科大學(xué)附屬第一醫(yī)院診斷為重度原發(fā)性手汗癥的住院患者,術(shù)前均詳細(xì)詢問病史,以雙手多汗為主訴入院,顯著影響患者日常生活、學(xué)習(xí)及工作。術(shù)前常規(guī)行胸部 CT 平掃及心電圖檢查排除肺結(jié)核、心血管疾病等相關(guān)疾病引起的全身多汗,在必要時(shí)做相關(guān)檢查以排除甲亢、糖尿病等疾病引起的多汗。所有患者所行的手術(shù)方式均為電視胸腔鏡下胸交感神經(jīng) R3 節(jié)段主干+側(cè)支切斷的方式。1.1.2 病例排除標(biāo)準(zhǔn)術(shù)前患有甲狀腺功能亢進(jìn)、糖尿病、心血管疾病、肺結(jié)核等疾病引起的繼發(fā)

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  本文關(guān)鍵詞：電視胸腔鏡下單孔法與雙孔法胸交感神經(jīng)鏈切斷術(shù)治療原發(fā)性手汗癥的對比，由筆耕文化傳播整理發(fā)布。