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일차성 다한증 환자에서 흉강경을 이용한 제한적 교감신경 차단술 : 보상성 다한증의 예방

Other Titles
 Thoracoscopic limited T-3 sympathicotomy for primary hyperhidrosis: prevention for compensatory hyperhidrosis 
 조준형  ;  하윤  ;  장진우  ;  박용구  ;  장종희 
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.34(4) : 309-313, 2003 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
Issue Date
Primary hyperhidrosis ; Thoracoscopy ; Sympathectomy ; Sympathicotomy ; Compensatory hyperhidrosis
Primary hyperhidrosis ; Thoracoscopy ; Sympathectomy ; Sympathicotomy ; Compensatory hyperhidrosis
Objective:This study evaluates the role of thoracoscopic T3 sympathicotomy for the treatment of primary hyperhidrosis and the prevention of compensatory hyperhidrosis.
Methods : Thoracoscopic T3 sympathicotomy was performed on 27 patients with either isolated palmar hyperhidrosis (n=24) or in combination with axillary hyperhidrosis (n=3), from February 1999 to February 2002. In the case of combined palmar and axillary hyperhidrosis, additional coagulation of T4 sympathetic ganglion was performed. The mean follow-up period was 26.7 months. Operative results were determined on the basis of complications, compensatory hyperhidrosis, and patient satisfaction.
Results : The immediate postoperative results showed that all 24 patients with palmar hyperhidrosis reported complete alleviation of their symptoms. One patient with palmar and axillary hyperhidrosis for whom the axillary hyperhidrosis was not completely resolved underwent a second T4 sympathicotomy one month after first operation. There were two patients who suffered mild compensatory hyperhidrosis(7.4%). All 27 patients reported a high long-term satisfactory rate (average score; 7.93/10). One patient required a chest tube for treating pneumothorax. Other complications such as Horners syndrome, intercostal neuralgia, gustatory hyperhidrosis, and pulmonary edema were not observed.
Conclusion : Thoracoscopic limited T3 sympathicotomy is an effective method to treat primary hyperhidrosis with a low rate of compensatory hyperhidrosis and a high rate of long-term satisfaction.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Yong Gou(박용구)
Chang, Jong Hee(장종희) ORCID logo https://orcid.org/0000-0003-1509-9800
Chang, Jin Woo(장진우) ORCID logo https://orcid.org/0000-0002-2717-0101
Cho, Jun Hyung(조준형)
Ha, Yoon(하윤)
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