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首页> 外文期刊>Neurosurgery >Palmar hyperhidrosis: intraoperative monitoring with laser Doppler blood flow as a guide for success after endoscopic thoracic sympathectomy.
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Palmar hyperhidrosis: intraoperative monitoring with laser Doppler blood flow as a guide for success after endoscopic thoracic sympathectomy.

机译：手掌多汗症：术中用激光多普勒血流监测作为内镜下胸交感神经切除术后成功的指南。

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OBJECTIVE: Video-assisted endoscopic thoracic sympathectomy is an effective surgical procedure for treating patients with palmar hyperhidrosis. An increase by more than 1 degrees C in palmar temperature has been observed to be predictive of good outcome. In this study, we investigated the use of palmar laser Doppler flowmetry as an intraoperative assessment of the efficacy of the operation. METHODS: One hundred sixty-six patients underwent a total of 330 endoscopic thoracic sympathectomy procedures from March 1996 to June 2001. We studied 17 patients (15 men, 2 women) who underwent a total of 33 procedures. The patients' mean age was 27.07 +/- 7.92 years, and the mean hospital stay was 2.23 +/- 0.66 days. RESULTS: Mean baseline laser Doppler blood flow was 2.63 +/- 2.56 ml/min/100 g. After the procedure, mean blood flow increased significantly to 7.24 +/- 5.88 ml/min/100 g (r = 0.768, P < 0.000, 95% confidence limit, -6.1060, -3.0946), a 232.18 +/- 219.12% increase. Mean palmar temperature increased to1.44 +/- 1.44 degrees C. All patients experienced relief after the operation. Compensatory hyperhidrosis occurred in 10 (58.8%) of 17 patients. CONCLUSION: Monitoring of palmar laser Doppler blood flow changes is a useful adjunct during endoscopic thoracic sympathectomy surgery, and, when coupled with the established methods of endoscopic visualization and palmar temperature, it can predict the success of the procedure accurately.
机译：目的：视频内镜胸腔交感神经切除术是治疗手足多汗症的有效手术方法。已观察到手掌温度升高超过1摄氏度可预示良好的预后。在这项研究中，我们调查了使用手掌激光多普勒血流仪作为术中手术效果的评估。方法：1996年3月至2001年6月，共对166例患者进行了330例内镜下胸交感神经切除术。我们研究了17例患者（15例男性，2例女性），共进行了33例。患者的平均年龄为27.07 +/- 7.92岁，平均住院时间为2.23 +/- 0.66天。结果：平均基线激光多普勒血流为2.63 +/- 2.56 ml / min / 100 g。手术后，平均血流量显着增加至7.24 +/- 5.88 ml / min / 100 g（r = 0.768，P <0.000，95％置信限，-6.1060，-3.0946），增加232.18 +/- 219.12％ 。平均手掌温度升至1.44 +/- 1.44摄氏度。所有患者术后均缓解。代偿性多汗症发生于17例患者中的10例（58.8％）。结论：监测手掌激光多普勒血流变化是内镜下胸交感神经切除术的有用辅助手段，结合已建立的内窥镜可视化方法和手掌温度，可以准确预测手术的成功。

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