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首页> 外文期刊>Surgical Endoscopy >Needlescopic thoracic sympathetic block by clipping for craniofacial hyperhidrosis: an analysis of 28 cases.
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Needlescopic thoracic sympathetic block by clipping for craniofacial hyperhidrosis: an analysis of 28 cases.

机译：颅面部多汗症夹入式胸腔镜交感神经阻滞28例分析。

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BACKGROUND: Endoscopic thoracic sympathectomy or sympathicotomy of the lower part of the stellate ganglion is an efficient method for the treatment of craniofacial hyperhidrosis, but postoperative compensatory sweating may be troublesome in some patients. Needlescopic thoracic sympathetic block by clipping may achieve a similar effect as well as providing a possible reverse operation for patients who suffer from intolerable postoperative compensatory sweating. METHODS: Between January 1998 and June 2000, we collected a total of 28 patients with craniofacial hyperhidrosis. There were 15 men and 13 women with a mean age of 39.2 years (ranges, 19-50). All patients were placed under single-lumen intubated anesthesia in a semisitting position. Two ports were needed. We used a 2-mm 0 degrees thoracoscope and endo clips to perform a sympathetic block by clipping the lower third of the stellate ganglion at the second intercostal space. RESULTS: The operation was usually accomplished within 20 min (ranges, 15-30). All patients were discharged within 4 h after the operation. There were no surgical complications or surgical mortality cases. All patients achieved improvement of craniofacial hyperhidrosis without recurrent symptoms after a mean of 25.3 months (range, 12-41) of follow-up. Twenty-five patients (85.7%) developed compensatory sweating of the trunk and lower limbs. One of these patients could not tolerate this postoperative sweating; he therefore underwent a reverse operation and obtained improvement of the compensatory sweating 18 days after removal of the endo clips. CONCLUSION: Needlescopic thoracic sympathetic block by clipping is a safe and effective method for the treatment of craniofacial hyperhidrosis; compensatory sweating may be improved after a reverse operation and removal of the endo clips.
机译：背景：内镜下胸交感神经切除术或星状神经节下部交感神经切开术是治疗颅面多汗症的有效方法，但某些患者术后代偿性出汗可能会很麻烦。针刺法经胸腔交感神经阻滞可能会达到类似的效果，并为无法忍受的术后代偿性出汗的患者提供可能的反向手术。方法：1998年1月至2000年6月，我们收集了28例颅面多汗症患者。男15例，女13例，平均年龄39.2岁（范围19-50）。所有患者均处于半坐位单腔插管麻醉。需要两个端口。我们使用2毫米0度胸腔镜和内窥镜夹钳夹住第二个肋间隙的星状神经节的下三分之一，以进行交感神经阻滞。结果：该手术通常在20分钟内完成（范围15-30）。术后4小时内全部患者出院。没有手术并发症或手术死亡病例。平均随访25.3个月（范围12-41），所有患者的颅面多汗症均得到改善，无复发症状。 25名患者（85.7％）出现躯干和下肢代偿性出汗。其中一名患者不能忍受术后出汗。因此，他在取出内夹后18天进行了反向手术并获得了代偿性出汗的改善。结论：经鼻夹入式胸腔镜交感神经阻滞治疗颅面多汗症是一种安全有效的方法。反向操作和取出内夹后可改善代偿性出汗。

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