分期单孔胸腔镜R2交感神经切开术是一种可重复、安全、有效的治疗方法。

IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Interactive cardiovascular and thoracic surgery Pub Date : 2022-10-10 DOI:10.1093/icvts/ivac257
Emma van der Weijde, Michiel Kuijpers, Wobbe Bouma, Massimo A Mariani, Theo J Klinkenberg
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摘要

目的:探讨分期单孔胸腔镜R2交感神经切开术治疗重度面红症的安全性、可行性、成功率、并发症发生率及不良反应。面部脸红被认为是一种良性状况;然而,严重的面部脸红会对生活质量产生重大影响。当药物和心理治疗等非手术治疗不能缓解或不能充分缓解时,应考虑胸腔镜下交感神经切开术的手术治疗。方法:纳入2016年1月至2021年9月期间因严重面部脸红接受分期胸腔镜交感神经切开术的所有患者。前瞻性地收集和分析临床和手术资料。结果:共收治低手术风险患者16例(美国麻醉医师学会1级)。围手术期无重大并发症。1例患者术后出现单侧霍纳综合征,1周后完全消退。2例患者出现代偿性多汗症。成功率为100%。一名患者在3年后经历了轻微的脸红症状复发,但没有影响他们的生活质量。所有患者对结果都很满意,没有后悔接受手术。结论:分期单孔胸腔镜R2交感神经切开术是一种可重复、安全、高效的手术治疗选择,代偿性多汗症发生率低,对精心挑选的严重面部发红患者有显著改善生活质量的潜力。我们希望提高医疗保健专业人员对使人衰弱的面部脸红的认识,并建议及时转诊进行手术治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Staged single-port thoracoscopic R2 sympathicotomy as a reproducible, safe and effective treatment option for debilitating severe facial blushing.

Objectives: Our goal was to investigate the safety, feasibility, success rate, complication rate and side effects of staged single-port thoracoscopic R2 sympathicotomy in the treatment of severe facial blushing. Facial blushing is considered a benign condition; however, severe facial blushing can have a major impact on quality of life. When nonsurgical options such as medication and psychological treatments offer no or insufficient relief, surgical treatment with thoracoscopic sympathicotomy should be considered.

Methods: All patients who underwent a staged thoracoscopic sympathicotomy at level R2 for severe facial blushing between January 2016 and September 2021 were included. Clinical and surgical data were prospectively collected and analysed.

Results: A total of 16 patients with low operative risk (American Society of Anesthesiologists class 1) were treated. No major perioperative complications were encountered. One patient experienced postoperative unilateral Horner's syndrome that resolved completely after 1 week. Two patients experienced compensatory hyperhidrosis. The success rate was 100%. One patient experienced a slight recurrence of blushing symptoms after 3 years that did not interfere with their quality of life. All patients were satisfied with the results and had no regrets of having undergone the procedure.

Conclusions: Staged single-port thoracoscopic R2 sympathicotomy is a reproducible, safe and highly effective surgical treatment option with low compensatory hyperhidrosis rates and the potential to significantly improve quality of life in carefully selected patients suffering from severe facial blushing. We would like to increase awareness among healthcare professionals for debilitating facial blushing and suggest timely referral for surgical treatment.

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来源期刊
Interactive cardiovascular and thoracic surgery
Interactive cardiovascular and thoracic surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.30
自引率
0.00%
发文量
292
审稿时长
2-4 weeks
期刊介绍: Interactive CardioVascular and Thoracic Surgery (ICVTS) publishes scientific contributions in the field of cardiovascular and thoracic surgery, covering all aspects of surgery of the heart, vessels and the chest. The journal publishes a range of article types including: Best Evidence Topics; Brief Communications; Case Reports; Original Articles; State-of-the-Art; Work in Progress Report.
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