手掌多汗症に対する内視鏡下胸部交感神経遮断術109例 (205側) の検討 : サーモグラフィーを用いた検討

抄録

  Objective : Endoscopic thoracic sympathectomy (ETS) is an effective treatment for palmar hyperhidrosis. Inspite of side effects such as compensate sweating, satisfactory rate of ETS is high. However, this evaluations is mainly due to subjective. We used thermographic evaluation of the skin temperature for patients with palmar hyperhidrosis before and after ETS.

  Methods : We performed ETS (T2 and 3) to 109 patients (205 sides, Average 28.6 years old±11.9) with palmar hyperhidrosis since January 2000. And time course thermography of the skin temperature including face, upper limbs, chest, abdomen and lower limbs was recorded to the 15 patients since July 2007.

  Results : Every ETS was effective and satisfactory rate was high except for only two patients suffered excessive compensate sweating. Increased temperature was observed in the operated-side skin after ETS. Higher temperature was observed during from immediately to 3-6 months after ETS. The area of higher temperature was detected typically in operation-side face, upper limb and precordium, but not detected in lower limb and foot.

  Conclusion : Thermographic observation of skin temperature was useful for objective evaluation in patients before and after ETS. And this method could be adaptable to the evaluation of the patients with spinal region such as cervical spondylosis, disc hernia and lumbar canal stenosis.