Abstract Objective To evaluate the effect and side effect of right T3 combined with left T4 sympathectomy in the surgical management of primary palmar hyperhidrosis (PPH)through randomized controlled tria1.Methods From February 2012 to Apr 2014,45 patients(19 males and 26 females)with PPH were enrolled in the study and randomly assigned into Group A (n=23) who recieved right T3 combined with left T4 sympathectomy and and Group B(n=22) who underwent bilateral T3 sympathectomy.The curative effects and side effects were compared between the tow groups.Results All procedures were carried out successfully without severe morbidity or mortality.After a mean follow-up period of 12.6 months,symptoms of PPH were improved in all patients. The left hands in Group A had more wet palms compared with the left hands in Group B (47.8％ vs 9.1％,P＜0.01),but the right hands, moisture (8.7% vs 9.1%,P>0.05)and patients’ satisfaction (91.3% vs 95.5%,P>0.05)between Group A and B showed no statistically significant difference.Compensatory hyperhidrosis(CH) occurred in 66.7% of patients, and no patient was affected with severe CH . Moderate CH occurred in 3 cases and 9 cases respectively in groups A and B, and there was significant difference between the groups (13.0％ vs 40.9％,P＜0.05). Conclusions The procedure of right T3 combined with left T4 sympathectomy is an effective method which can improve quality of life and reduce compensatory hyperhidrosis.
CHEN Guangchun,WEN Yi,LIAO Xiaoyong等. Comparison of bilateral T3 sympathectomy versus right T3 combined with left T4 sympathectomy in treatment of primary palmar hyperhidrosis[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2014, 25(11): 1107-1110.
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2014, Vol. 25 
