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1. Sun GZ, Xu LH, Zhou B: [The choice of thoracoscopic sympathectomy in the treatment of palmar hyperhidrosis among different procedures]. Zhonghua Yi Xue Za Zhi; 2010 Aug 3;90(29):2065-7

  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] [The choice of thoracoscopic sympathectomy in the treatment of palmar hyperhidrosis among different procedures].
  • OBJECTIVE: Retrospective analyze the long-term efficacy and compensatory sweating of thoracoscopic sympathectomy in the treatment of palmar hyperhidrosis by different operative methods in order to search after a better operative method.
  • METHODS: Retrospective study of 643 cases (498 cases available) palmar hyperhidrosis who accepted video-assisted thoracoscopic bilateral sympathectomy during from 1995 to Aug 2008.
  • The patients were divided into four groups by different operative methods. (1) Group A(n = 82): Thoracoscopic T2-4 sympathectomy was performed. (2) Group B (n = 135): Thoracoscopic T2 sympathectomy was performed. (3) Group C (n = 41): Thoracoscopic T2 sympathetic nerve clipped. (4) Group D (n = 240): Thoracoscopic T3-4 level sympathectomy plus bypass fiber (Kuntz fiber) resection on same level was performed.
  • RESULTS: All procedures were successfully performed under thoracoscope without severe morbidity and mortality.
  • The curative rate of palmar hyperhidrosis was 100.00%.
  • The incidence of compensatory sweating were 54.9% (group A), 48.1% (group B), 48.8% (group C) and 28.8% (group D) respectively with significantly decrease in group D contrast to other three groups.
  • The incidence of high-grade compensatory sweating which have important influences on daily life were 9.8% (group A), 10.4% (group B), 9.8% (group C) and 2.9% (group D) respectively with significantly decrease in group D.
  • Other pairings have nonsignificance.
  • The relapse rate were 1.2% (group A), 2.2% (group B), 7.3% (group C) and 0.8% (group D).
  • Only when group D contrasted to group C has significantly decrease in the relapse rate (χ(2) = 8.423, P = 0.004).
  • Other pairings have nonsignificance.
  • CONCLUSION: The procedure of T3-4 sympathectomy plus bypass fiber resection is reasonable operative method to cure hyperhidrosis with the better curative effect and lowest incidence of compensatory hyperhidrosis.
  • [MeSH-major] Hyperhidrosis / surgery. Sympathectomy / methods. Thoracic Surgery, Video-Assisted
  • [MeSH-minor] Adolescent. Adult. Female. Hand. Humans. Male. Middle Aged. Postoperative Complications / surgery. Retrospective Studies. Thoracoscopy / methods. Young Adult

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  • (PMID = 21029647.001).
  • [ISSN] 0376-2491
  • [Journal-full-title] Zhonghua yi xue za zhi
  • [ISO-abbreviation] Zhonghua Yi Xue Za Zhi
  • [Language] chi
  • [Publication-type] English Abstract; Journal Article
  • [Publication-country] China
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