【正文】
對(duì)于術(shù)后不能很好配合的 10歲以下患者最好不予手術(shù)。術(shù)中應(yīng)避免損傷星狀神經(jīng)節(jié)。總結(jié)提高手術(shù)成功率和減少手術(shù)并發(fā)癥的經(jīng)驗(yàn)如下:①手術(shù)麻醉要充分,應(yīng)采用雙腔管插管。本組 10例中 ,我們采取電灼切斷 (而非切除 )胸 24交感神經(jīng)干也取得滿意療效 ,所有患者手掌及腋窩多汗癥狀完全消失 ,其中伴隨的足底多汗也都消失或減少。無手術(shù)死亡及切口感染。 ,于腋中線第 6肋間作 5mm 0度或 30度胸腔鏡 ,在胸腔鏡監(jiān)視下 ,再于腋前線第 3肋間做 ,置入套管并放入電凝鉤 ,遇到胸膜粘連用電凝分離 .在脊柱旁溝內(nèi) ,肋骨小頭前方找到胸 24交感神經(jīng)鏈 ,用電凝依次切斷。胸交感神經(jīng)干切斷術(shù)并發(fā)癥 The precaution of plication in thoracoscopic sympathectomy for primary hyperhidrosis WANG Kaizhong, WANG Yan (Department of Tharocic Surgery, the First Hospital of Jilin University, Changchun 130021, China) Abstract: ObjectiveTo evaluate the efficacy and safety of thoracoscopic sympathectomy for primary hyperhidrosis. Method From KKME專業(yè)醫(yī)學(xué)搜索引擎 October 2022 to February 2022, 10 cases of the second to four thoracic sympathectomies were performed. There were 6 males and 4 females with a mean age of years(from 10 to 50 years). ResultsThe symptoms disappeared plet