A Clinical Study On Endoscopic Thoracic Sympathectomy For Palamar Hyperhidrosis

Objective: To investigate the outcomes, complications and preservation about ETS for PH.Methods: Analyzing the results and complications about the 152 cases, who were received ETS for treating PH from Jan.2003 to Sep. , and were followed up.Results: In 152 patiens after ETS, aged 13-60 years and 27.88 years on average; 13 juvenile (aged 13~17years), 121 youth (aged 18~45years), 18 middle age (aged 46~60years); 66 males, 86 females; 57 midrange, 95 serious-range; 127 FH, 101 AH. 42 of them went with disease on the hands, include 28 herpes, 24 exuviae, 11 rhagades. All of their hands became dry and warm after operation. 146 patiens were followed-up for 1 to 45 months, and 25.4 months on average: 7 of them were clincchekups, 54 of them were followed by phone, 85 of them by mail. The follow-up rate is 96.05%. The total results: No recurrence, hemopneumothorax, Horner's syndrome and other serious complications.The cure rate that for midrange and serious-range PH case were 100% (57/57, 89/89). That for FH and AH were 67.72%(86/127) and 82.18%(83/101) respectively.The incidence of CH in patiens with different ages is 30.00%(juvenile, 3/10),28.81%(youth, 34/118) and 27.78%(middle age, 5/18). (P>0.05). The incidence of CH in patiens with different sex is 29.69%(males, 19/64) vs 28.05%(females, 23/82). (P>0.05). The incidence of CH in patiens with different range is 17.54%(midrange, 10/57) vs 35.96%(serious-range, 32/89). (P﹤0.05). In 57 patiens with midrange PH, 10 CH. 5 of them were self-cure in half a year, 7 in one year, 8 in one and a half year; in 89 patiens with serious-range PH, 32 CH, 11 of them were self-cure in half a year, 16 in one year, 22 in one and a half year. (P>0.05).In 16 patiens midrange PH with disease on hands, 15 curing; in 26 patiens serious-range PH with disease on hands, 15 curing. Significantly different.A few of them complained pain on chest, few of that last for two weeks.Conclusion: 1.The curing rate is 100%, none recurred. 2. There are no association among the outcome and the range of PH. Most of the FH and AH can be cured following the curing of PH. 3. There are no association among the incidence of CH and the age or sex. There are some association among the range of PH and the incidence of CH , but no association among the range of PH and the self-cure time. The serious-range has the higher rate of CH than midrange. 4. There are some association among the range of PH and the cure about disease on hands. The serious-range has the lower rate of cruing than midrange. Above all, It is effective, safer and mini-trauma that ETS for treating PH.