안면 및 상지 과한증에 대한 흉추교감신경수술의 효용
Evaluation on the Second Thoracic Sympathectomy or Sympathotomy
박은영, 오창록,
소속 상세정보
박은영 ( )
한양대학교 의과대학 신경외과학교실
오창록 ( )
한양대학교 의과대학 신경외과학교실
KMID : 0359819760050020171
Abstract
Hyperhidrosis is an abnormal condition of excessive sweating"Peyond that required ,to cool the body. It apparently originates from some poorly understood stimulation: of the sympathetic nervous system, and can pose serious `psychological and social handicaps.
Of the numerous treatments recommended for this condition, only surgical* removal of the sympathetic nerve supply seems effective.
This paper concerns the treatment of 21 patients suffering from primary hyperhidrosis_ facialis et palmaris. 4 of whom were treated by upper thoracic sympathetic ganglionectomy and 17 were treated by ganglionotomy which included the second thoracic ganglion; the period of postoperative observation has ranged from 5 months to 3 years.
The operation was performed´ after Cloward and with his devices.
Postoperatively in all patients, the face and the extremities, were completely dry. Excessive sweating of the feet was slightly improved in 27% of patients.
This operation seems to be simpler than other surgical approaches, with a lower morbidity, fewer complications and satisfying results.
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