科研之友
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摘要
background: videothoracoscopic for the treatment of hyperhidrosis is carried out by clamping of the sympathetic trunk, with a possibility for reversal in cases of intense compensatory sweating. objective: to evaluate therapeutic success, satisfaction, and compensatory sweating in patients submitted to this technique. method: prospective study in which 45 patients were divided into two groups. group i: one patient with palmar hyperhidrosis and 20 patients with palmar and plantar hyperhidrosis submitted to a t3 block; group ii: four patients with axillary hyperhidrosis, two with axillary and palmar hyperhidrosis, two with axillary and plantar hyperhidrosis, and 16 with axillary, palmar, and plantar hyperhidrosis submitted to a block of t3 and t4. results: in group i, 95.2% of the patients had palmar and plantar hyperhidrosis, and in group ii, 66.7% had axillary, palmar, and plantar hyperhidrosis. for the palmar region, excellent or good results occurred in 95.3% of group i and in 94.4% of group ii; in the plantar region, 40% of group i and 44.5% of group ii presented good results; in the axillary region, 95.8% reported excellent or good results. in six months, 76.2% of group i and 91.7% of group ii had experienced compensatory sweating, but intense compensatory sweating occurred in only three patients of group ii. conclusions: this treatment proved to be effective for the treatment of hyperhidrosis. at the end of six months, all patients from group i and 95.9% of the patients from group ii were satisfied with the results.
