Effect of lowering or restricting sympathectomy levels on compensatory sweating

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• 作者：Songwang Cai (1)
  Shaohong Huang (1)
  Jun An (1)
  Yun Li (1)
  Yimin Weng (1)
  Hongying Liao (1)
  Huiguo Chen (1)
  Libao Liu (1)
  Jinyuan He (1)
  Junhang Zhang (1)
  
• 关键词：Hyperhidrosis ; Sympathectomy ; Compensatory sweating ; Quality ; of ; life
• 刊名：Clinical Autonomic Research
• 出版年：2014
• 出版时间：June 2014
• 年：2014
• 卷：24
• 期：3
• 页码：143-149
• 全文大小：
• 参考文献：1. Gossot D, Galetta D, Pascal A, Debrosse D, Caliandro R, Girard P, Stern JB, Grunenwald D (2003) Long-term results of endoscopic thoracic sympathectomy for upper limb hyperhidrosis. Ann Thorac Surg 75:1075-079 CrossRef
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• 作者单位：Songwang Cai (1)
  Shaohong Huang (1)
  Jun An (1)
  Yun Li (1)
  Yimin Weng (1)
  Hongying Liao (1)
  Huiguo Chen (1)
  Libao Liu (1)
  Jinyuan He (1)
  Junhang Zhang (1)
  
  1. Department of Cardiothoracic Surgery, The Third Affiliated Hospital, Sun Yat-sen University, No. 600 Tianhe Road, Tianhe District, Guangzhou, 510630, Guangdong, China
  
• ISSN：1619-1560

文摘

Objective There is controversy on whether lowering or restricting the level of sympathectomy can reduce compensatory sweating (CS). This study compared the results from sympathectomies performed to treat severe palmar hyperhidrosis using two distinct levels of T2- and T3-. Methods One hundred and sixteen patients with primary palmar hyperhidrosis were randomly allocated to undergo either T2- sympathectomy treatment (T2- group) or T3- sympathectomy treatment (T3- group). Follow-up data were collected using a telephone questionnaire to assess efficacy, side effects, overall satisfaction, and factors affecting CS and the degree of satisfaction. Results There were no significant differences with respect to either CS or severe CS between the two treatment groups at 1, 6, or 12?months of follow-up. The total scores of the quality-of-life questionnaires after surgery were remarkably decreased compared with those before surgery in the two groups. However, no significant differences in quality-of-life scores were found between the two groups before surgery, or at 1, 6, or 12?months of follow-up. Age was predictive of severe CS at 6?months of follow-up (P?=?0.045). Severe CS was inversely associated with patient satisfaction at 1, 6, and 12?months of follow-up. Interpretation The issue of whether lowering or restricting the level of sympathectomy reduces CS is controversial and needs more supportive evidence. Age may be a predictive factor for severe CS at 6 and 12?months of follow-up. Severe CS is the only known factor that affects patient satisfaction, and family history may also be associated with patient satisfaction.