Efficacy of modified single-port thoracoscopic sympathectomy combined with disconnection ventilation in the treatment of primary palmar hyperhidrosis
10.3969/j.issn.1673-9701.2025.01.003
- VernacularTitle:改良单孔胸腔镜交感神经切断术联合呼吸暂停治疗原发性手汗症的疗效
- Author:
Nengkang BIN
1
;
Changze ZHENG
;
Ansheng MO
;
Yunxin LU
;
Shiqi LIANG
;
Gengwei LI
Author Information
1. 广西医科大学武鸣临床医学院,广西 南宁 530199
- Publication Type:Journal Article
- Keywords:
Primary palmar hyperhidrosis;
Thoracoscopy;
Artificial pneumothorax;
Disconnection ventilation
- From:
China Modern Doctor
2025;63(1):10-13,17
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and safety of modified single-port thoracoscopic sympathectomy combined with disconnection ventilation in the treatment of primary palmar hyperhidrosis(PPH).Methods The perioperative indexes,clinical efficacy and postoperative complications of 20 patients with PPH who underwent modified single-port thoracoscopic sympathectomy combined with disconnection ventilation in Wuming Hospital of Guangxi Medical University from June 2020 to July 2024 were retrospectively analyzed.Results All patients successfully completed the operation without serious complications and death.The average operation time was(56.15±16.00)min,and the average intraoperative blood loss was(3.35±1.39)ml.The treatment effective rate was 100%,the average postoperative hospitalization time was(2.15±0.86)days,and the average hospitalization cost was(9485.56±1601.77)yuan.During the follow-up period of 1 to 45 months,there were no recurrent cases and no obvious cases of compensatory hyperhidrosis.Conclusion The modified single-port thoracoscopic sympathectomy combined with disconnection ventilation has good efficacy and safety in the treatment of PPH.
