Endoscopic treatment of mediastinal TV experience hyperhidrosis.docVIP

 PAGE \* MERGEFORMAT 10 Endoscopic treatment of mediastinal TV experience hyperhidrosis OF: He Zhaozhong, Yang Jie, Ye Guolin, the ancient right to health [Keywords:] video mediastinoscopy palmar hyperhidrosis nerve chain amputation Video-assisted thoracoscopic thoracic sympathectomy or resection has become the treatment of palmar hyperhidrosis most commonly used method [1]. From January 2004 to April 2005 we applied for the 278 cases of video mediastinoscopy hyperhidrosis patients in the chest sympathectomy surgery, and achieved satisfactory results, are as follows. Materials and Methods 1. Clinical Data The group of 278 patients with 156 cases of male, female 122 cases, aged 10 to 69 years, mean 28.3 years, duration of 7 to 62 years, with an average of 20.5 years. Mere 106 cases of palmar hyperhidrosis, facial hyperhidrosis palmar hyperhidrosis in 10 cases combined, axillary hyperhidrosis and plantar hyperhidrosis combined 98 cases of plantar hyperhidrosis hyperhidrosis of 64 cases combined. hyperhidrosis level: mild (13 cases of wet, moderately wet with sweat hyperhidrosis 125 cases of herpes, severe (Khan drops of 140 cases. preoperative other methods of treatment fails, and the exclusion of hyperthyroidism and other systemic disease caused by the body sweating. 2. Surgical methods This group of patients were single chamber tracheal intubation, anesthesia after the success of taking 30 ~ 40 semi-sitting position, his arms full abduction 90 , the temperature monitor close to the left and right palm, in order to compare temperature changes hands before and after surgery . 3rd intercostal space anterior axillary line to take 2 ~ 2.5 cm incision into television mediastinoscopy at the same time with your anesthesiologist or stop breathing with low tidal volume 2 to 3 minutes, the lungs collapse and sagging, this time clearly revealed paraspinal thoracic sympathetic chain, the mirror with a suction tube into the electrical hook to determ