Comparative study of CT-guided radiofrequency and alcohol ablation in the treatment of primary hyperhidrosis.

IF 1.6 4区 医学 Q2 SURGERY Frontiers in Surgery Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.3389/fsurg.2024.1402241
Yaoping Yu, Jie Cui, Yu Zhang, Lei Feng, Lijun Wang
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Abstract

Objective: This study compared the efficacy and complications of percutaneous radiofrequency ablation with anhydrous alcohol ablation of sympathetic nerves in treating hyperhidrosis of the head and palms.

Methods: A retrospective analysis was conducted on 54 patients with primary hyperhidrosis in our department from June 2018 to June 2021, divided into a radiofrequency ablation group (30 cases) and an anhydrous alcohol ablation group (24 cases). Treatment outcomes were compared by analyzing the number of CT scans, effectiveness, and complications.

Results: In the radiofrequency group, symptoms of bilateral hyperhidrosis significantly improved in 24 patients, with an 80% postoperative satisfaction rate. In the alcohol ablation group, symptoms significantly improved in 19 patients postoperatively, with a 79.2% satisfaction rate. There was no statistically significant difference in effectiveness or complications between the two groups (all P > 0.05). The number of CT scans in the radiofrequency group was 4.60 ± 0.56 and 6.08 ± 0.28 in the alcohol group, showing a statistically significant difference (P < 0.05).

Conclusion: This study concluded that both percutaneous radiofrequency ablation and alcohol ablation are effective methods for hyperhidrosis treatment, with similar effectiveness and complication rates, but the radiofrequency ablation group required fewer CT scans.

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CT 引导下射频和酒精消融治疗原发性多汗症的比较研究。
研究目的本研究比较了经皮射频消融术与交感神经无水酒精消融术治疗头部和手掌多汗症的疗效和并发症:对我科2018年6月至2021年6月的54例原发性多汗症患者进行回顾性分析,分为射频消融组(30例)和无水酒精消融组(24例)。通过分析CT扫描次数、有效性和并发症,比较治疗效果:结果:在射频治疗组中,24 名患者的双侧多汗症症状得到明显改善,术后满意率为 80%。酒精消融组中,19 名患者术后症状明显改善,满意率为 79.2%。两组患者的疗效和并发症差异无统计学意义(P>0.05)。射频组的 CT 扫描次数为(4.60±0.56)次,酒精组为(6.08±0.28)次,差异有统计学意义(P 结论:射频组和酒精组的 CT 扫描次数差异无统计学意义(P):本研究认为,经皮射频消融术和酒精消融术都是治疗多汗症的有效方法,其有效性和并发症发生率相似,但射频消融术组所需的 CT 扫描次数更少。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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