Quality of life in 243 patients with primary palmar hyperhidrosis after endoscopic thoracic sympathicotomy
10.7507/1007-9424.202104053
- VernacularTitle:243 例原发性手汗症患者胸腔镜下胸交感神经切断术后生活质量分析
- Author:
Qingcai LIN
1
;
Jianbo LIN
2
,
3
;
Yuanrong TU
2
,
3
;
Jianfeng CHEN
2
,
3
;
Min LIN
2
,
3
Author Information
1. Graduate School of Fujian Medical University, Fuzhou, 350004, P. R. China
2. 1. Graduate School of Fujian Medical University, Fuzhou, 350004, P. R. China
3. 2. Department of Thoracic Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, 350004, P. R. China
- Publication Type:Journal Article
- Keywords:
Primary palmar hyperhidrosis;
endoscopic thoracic sympathicotomy;
quality of life;
compensatory hyperhidrosis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(03):294-300
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the quality of life (QOL) in patients with primary palmar hyperhidrosis (PPH) after endoscopic thoracic sympathicotomy (ETS) and analyze the influencing factors. Methods A total of 243 patients (118 males and 125 females, with an average age of 21.99±6.31 years) with PPH who were successfully treated with ETS (only T3 level thoracic sympathicotomy) in our hospital from January 2017 to January 2018 were enrolled, and the World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF) was used to assess the QOL scores before and after ETS. By establishing a linear regression model of gender, age, body mass index, compensatory hyperhidrosis (CH) and palm dryness, and the relationship between the changes of the QOL scores and various factors was studied. Results The total QOL score after surgery was higher than that before surgery (63.01±4.58 vs. 48.11±1.95, P<0.05). Compared with the negative group of CH, the QOL score decreased by 4.662 in the postoperative CH patients. For every grade of CH severity increasing, the QOL score decreased by 3.449. Compared with the negative group, the QOL scores decreased by 1.804 and 2.400 respectively for every grade of CH severity increasing in the patients with postoperative chest and back CH. Conclusion ETS can not only improve the symptoms of abnormal palmar hyperhidrosis, but also significantly improve the QOL. Severe chest and back CH is an important factor affecting the QOL of patients.
