Efficacy of CT-guided percutaneous radiofrequency thermocoagulation in primary hyperhidrosis of head and palms
10.3760/cma.j.cn115354-20200521-00390
- VernacularTitle:CT引导下经皮穿刺射频热凝治疗原发性头、手多汗症的疗效分析
- Author:
Yaoping YU
1
;
Lijun WANG
;
Yanjie ZHOU
;
Ting HUANG
;
Fengfeng LIU
;
Jianguo HE
Author Information
1. 宁波市康复医院疼痛科 315040
- Keywords:
Hyperhidrosis;
Radiofrequency thermocoagulation;
CT guidance;
Sympathetic ganglion
- From:
Chinese Journal of Neuromedicine
2021;20(1):76-79
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the treatment efficacy of percutaneous radiofrequency thermocoagulation in patients with hyperhidrosis of heads and palms.Methods:Thirty patients with primary hyperhidrosis of heads and palms, admitted to our hospital from June 2017 to May 2019, were chosen in our study. CT-guided percutaneous puncture of T 3 or T 4 and sympathetic ganglion radiofrequency thermocoagulation were given to all patients. The evaluation of curative effects and complications of these patients were summarized during the 12 months of follow up. Results:The symptoms of hyperhidrosis in 24 patients got significant improvement, enjoying postoperative satisfaction rate of 80%. During the surgery, 5 patients suffered thoracic and lung puncture injury, including 4 with pneumothorax and one with hemothorax. Seven patients experienced pain and numbness in the chest, back, armpit or upper arm after surgery; 10 patients developed compensatory hyperhidrosis of the back, and two patients developed compensatory hyperhidrosis of the back and bilateral feet.Conclusion:Percutaneous radiofrequency is an effective treatment for hyperhidrosis that provides excellent immediate and long-term effect, as well as low complication rate.
