Analysis of the therapeutic effect of ultra-micro 8.0 mm single-port thoracoscopic nerve resection through areola incision for the treatment of primary palmar hyperhidrosis
- VernacularTitle:超微8.0 mm单孔胸腔镜经乳晕切口神经切断术治疗原发性手汗症的疗效分析
- Author:
Jing PENG
1
;
Guang CHEN
1
;
Zhihui WU
1
;
Weilin JIANG
1
;
Nianxi TAN
1
Author Information
- Publication Type:Journal Article
- Keywords: primary palmar hyperhidrosis(PPH); ultra-micro single-port thoracoscopy; compensatory hyperhidrosis; bilateral sympathotomy; serum C-reactive protein(CRP); cortisol(Cor); interleukin-6(IL-6)
- From: China Journal of Endoscopy 2025;31(8):1-7
- CountryChina
- Language:Chinese
- Abstract: Objective To explore the clinical efficacy of ultra-micro 8.0 mm single-port thoracoscopic nerve resection through areola incision in the treatment of primary palmar hyperhidrosis(PPH).Methods 84 patients with PPH from January 2018 to January 2022,were divided into the observed group[(inframammary approach,IMA)group,n=42]and control group[axillary approach(AA)group,n=42].The observed group was treated with ultra-micro 8.0 mm IMA single-port endoscopic thoracic sympathectomy(ETS),the control group used the traditional AA single-port ETS.The visual analogue scale(VAS)score,serum C-reactive protein(CRP),cortisol(Cor),interleukin-6(IL-6)levels,the postoperative cosmetic effect and compensatory hyperhidrosis of the two groups were compared.Results The VAS scores of 2,12 and 24 h after surgery in the observation group were significantly lower than those of the control group,the differences were statistically significant(P<0.05);At 12 and 24 h postoperation,the levels of CPR,Cor,and IL-6 levels in both groups of patients were significantly higher than preoperation,but those in the observation group were significantly lower than those of the control group,the differences were statistically significant(P<0.05);The total satisfaction rate of postoperative incision in the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05);There was no statistically significant difference of the incidence of compensatory hyperhidrosis between the two groups(P>0.05).Conclusion The clinical efficacy of ultra-micro 8.0 mm IMA single-port ETS through areola incision in the treatment of PPH is good.Compared with the traditional axillary single-port thoracoscopic method,it has the advantages of small trauma,less bleeding,less patient pain,high safety and high patient satisfaction.It is worthy of clinical promotion and application.
