Prognosis analysis of R2 intervention surgery in patients with primary craniofacial hyperhidrosis: A retrospective cohort study
- VernacularTitle:原发性头面部多汗症患者R2干预手术预后的回顾性队列研究
- Author:
Hong CHEN
1
;
Zhi FENG
2
;
Yuanrong TU
2
;
Min LIN
2
;
Zijie WANG
1
;
Quan DU
2
;
Jianfeng CHEN
2
Author Information
1. First Clinical School of Fujian Medical University, Fuzhou, 350122, P. R. China
2. 2. Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, P. R. China 3. Department of Thoracic Surgery, Binhai Campus National Regional Medical Center, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350212, P. R. China
- Publication Type:Journal Article
- Keywords:
Primary craniofacial hyperhidrosis;
R2 intervention surgery;
compensatory hyperhidrosis;
recurrence;
satisfaction;
predictive model
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(07):1013-1021
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prognosis and satisfaction of the R2 intervention procedure and develop related predictive models. Methods The clinical data of 64 patients with primary craniofacial hyperhidrosis who underwent R2 intervention surgery at the First Affiliated Hospital of Fujian Medical University from November 2018 to October 2022 were retrospectively analyzed. By statistically analyzing the risk factors for compensatory hyperhidrosis (CH) and satisfaction, and conducting feature screening, a relevant prediction model was established. Results Finally, 51 patients were collected, including 43 (84.3%) males and 8 (15.7%) females, with an average age of (30.27±7.22) years. Overall postoperative satisfaction was high, with only 5.9% of patients expressing regret about the surgery. However, 92.2% of patients experienced CH. The onset of postoperative CH was most prominent within the first 3 months postoperatively, with the incidence rate stabilizing thereafter. Preoperative heart rate and R2 sympathetic nerve clipping were identified as independent risk factors for severe CH. The preoperative body mass index, the degree of sweating in the chest and abdomen, are significantly correlated with postoperative satisfaction. Conclusion The R2 intervention surgery effectively alleviates the symptoms of primary craniofacial hyperhidrosis, and patient satisfaction is high.
