左T4右T3与双侧T3交感神经链切断术治疗手汗症疗效比较

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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.

Key words： thoracoscopy sympathectomy palmar hyperhidrosis compensatory hyperhidrosis

Received: 06 May 2014

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	Articles by authors
	CHEN Guangchun
	WEN Yi
	LIAO Xiaoyong
	QIU Gan
	GUO Weihua
	CHEN Jingsong
	TENG Shuyan
	CHEN Jie
	and WU Weiwei

Cite this article:

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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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2014/V25/I11/1107

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