使用围手术期热像仪评估交感神经切除术的效果

Ahmet Acıpayam, A. Yoldaş
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摘要

目的:原发性多汗症(HH)是指身体一个或多个部位出汗过多。确切的治疗方法是外科手术。最常用的手术方法是内窥镜胸交感神经切除术(ETS)。我们旨在通过体温测量来研究多汗症患者的疗效。方法:我们分析了2019年1月1日至2022年11月1日期间在卡赫拉曼马拉什-苏特苏-伊马姆大学胸外科诊所确诊为多汗症的30名患者的调查结果。通过热像仪测量手部温度,检查了接受双侧内窥镜胸交感神经切除术患者的术前、术中和术后手部温度。结果显示经过检查评估发现,交感神经切除术前和交感神经切除术后的手温测量值均有所增加。结论:我们相信,通过热像仪测量体温进行内窥镜胸腔交感神经切除术将提高医生和患者手术的舒适度和安全性。
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Use of perioperative thermal camera for the assessment of sympathectomy effectiveness
Objectives: Primary Hyperhidrosis (HH) is the excessive sweating condition in one or more parts of the body. The definitive treatment method is surgical. The most commonly applied surgical method is endoscopic thoracic sympathectomy (ETS). We aimed to investigate the effectiveness of patients with hyperhidrosis by making temperature measurements. Methods: We analyzed the findings of 30 patients who were diagnosed with HH between January 1, 2019 and November 1, 2022 in Kahramanmaraş Sütçü İmam University Thoracic Surgery Clinic. Preoperative, intraoperative and postoperative hand temperatures of the patients who underwent bilateral endoscopic thoracic sympathectomy were examined by measuring hand temperatures with a thermal camera. Results: After the evaluation of the examination, it was revealed that there was an increase in the hand temperature measurement values before sympathectomy and after the sympathectomy operation. Conclusion: We believe that endoscopic thoracic sympathectomy performed by measuring temperature with a thermal camera will increase the comfort and safety of the surgery both on the part of the physician and the patient.
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