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【科普】胸交感神经链切断术 彻底解决多汗问题

发布时间:2023-07-25
来源:宜宾市中医医院 0831-5858120
浏览:5545
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夏日来临
某些人
身体显露部位明显出汗
事实上
这往往是一种病理状态
医学上称之为
“手汗症”“头面多汗症”或“腋汗症”
……


图片


它严重影响着这部分人群的生活质量:
由于紧张或嘈杂时,头面多汗,不敢在公众社交场合抛头露面,不敢上台演讲。
由于手掌的严重多汗,不敢同他人握手,或羞于同恋人牵手。

腋窝出汗打湿衣衫,让年轻女孩尴尬不已。

写作时汗水打湿纸张,操作电脑时汗水打湿键盘.....


可以说

由于这些显露部位的多汗

严重影响着不少人的

情绪、社交、择业甚至婚恋



近年来,随着人们生活水平的提高和对生活质量要求的提高,因为多汗而主动求医的人数越来越多。多汗症的发病率情况,目前还没有针对中国人群确切的统计数据。


多汗症的传统治疗方法


除非有明确的基础疾病,如甲状腺功能亢进、过度肥胖及神经官能症等可以同时伴发多汗,大多数情况下的多汗症都是没有明确原因的,因此也称“原发性多汗症”。由于发病机理不明,故针对多汗症的治疗方法也多种多样。


传统的治疗方法包括生物反馈治疗、催眠术治疗、心理治疗、镇静剂治疗、抗胆碱能受体药物的治疗、中医中药治疗、出汗部位局部皮肤外用收敛剂治疗或放射线照射治疗等等。但所有的这些治疗办法都没有十分肯定的治疗效果。


由于长期以来治疗效果不理想,使许多人对这一病症产生了畏惧和种种不正确的理解。有些人认为是先天遗传的问题,所以没法治疗;有些人则认为这代表自己身体“虚”,并因此而食用很多“补品”,但最终基本是无济于事;还有一些人认为是因为自己性格内向,胆小拘谨,因此才会出现到了演讲台或其它公众场合时大汗淋漓的情况。不管这些种种看法是否正确,但它确实加重了这些多汗朋友的心理负担。



胸交感神经链切断术


电视胸腔镜技术的出现给多汗症的治疗带来了里程碑式的突破。


胸腔镜是一项基于电视成像和冷光源技术的现代医疗科技。医生通过胸壁的一个0.5cm大小的小切口和置入其中的电视胸腔镜就可以明晰的看到位于脊柱旁的交感神经链,再通过另一个同样大小的小切口和一些特殊器械便可以完成交感神经链切除或切断这样的手术。患者需要短暂的2-3天的住院,手术前做一些必要的检查。


手术采用全身麻醉,患者采取一个上半身斜坡坐起的半仰卧体位,手术医生站在患者的一侧,首先在胸壁腋窝下的一个隐蔽位置切取一个长约0.5cm的小切口,放置胸腔镜进去后,医生便可以通过电视屏幕看到胸腔内的情况以及位于脊柱旁边并和脊柱平行的交感神经链。通过基本接近位置的另一个相似大小的胸壁小切口和一些特殊器械,医生可以在5分钟左右的时间内完成交感神经链的切断手术。一侧手术结束后再利用相同办法实施另一侧手术。总计的手术时间在半小时之内。


患者在手术后当天下午便可下地活动,次日可以出院,最长一周之内便可正常上班。伤口拆线后胸壁基本不留下什么疤痕,即便留下一些疤痕,由于位置在腋窝下这样的隐蔽位置,所以不会影响美观。





宜宾市中医医院胸心乳腺外科诊治范围


1.胸部创伤的救治:①肋骨骨折、胸骨骨折手术急救治疗;②血胸、气胸、气管损伤、胸腹联合伤、心脏损伤急诊手术治疗;③肺爆震伤、创伤性窒息、胸部挤压伤。

2.胸壁和胸膜疾病:胸壁肿块、胸壁结核脓肿、急慢性脓胸、各类胸腔积液、胸膜肿瘤活检切除。

3.肺部疾病的外科治疗:①肺癌的微创手术及局部可切除中晚期肺癌的根治性手术切除;②肺部良性肿瘤;③支气管扩张;④肺结核球、曲霉菌球的外科治疗;⑤肺大疱。

4.食管疾病的外科治疗:①食管癌;②食管平滑肌瘤;③贲门失迟缓症。

5.纵隔肿瘤的外科治疗:①胸腺瘤;②畸胎瘤;③神经源性肿瘤。

6.手汗症的微创手术治疗

7.各类乳腺疾病的外科治疗:①乳腺癌;②乳腺纤维瘤;③乳管内乳头状瘤;④乳腺囊肿。


科室地址:外科大楼7楼

咨询电话:0831-7865035




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org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.tomcat.websocket.server.WsFilter.doFilter(WsFilter.java:52) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.web.filter.ApplicationContextHeaderFilter.doFilterInternal(ApplicationContextHeaderFilter.java:55) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AbstractShiroFilter.executeChain(AbstractShiroFilter.java:449) at org.apache.shiro.web.servlet.AbstractShiroFilter$1.call(AbstractShiroFilter.java:365) at org.apache.shiro.subject.support.SubjectCallable.doCall(SubjectCallable.java:90) at org.apache.shiro.subject.support.SubjectCallable.call(SubjectCallable.java:83) at org.apache.shiro.subject.support.DelegatingSubject.execute(DelegatingSubject.java:387) at org.apache.shiro.web.servlet.AbstractShiroFilter.doFilterInternal(AbstractShiroFilter.java:362) at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.apache.shiro.web.servlet.AdviceFilter.executeChain(AdviceFilter.java:108) at org.apache.shiro.web.servlet.AdviceFilter.doFilterInternal(AdviceFilter.java:137) at org.apache.shiro.web.servlet.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:125) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at com.alibaba.druid.support.http.WebStatFilter.doFilter(WebStatFilter.java:123) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.boot.actuate.trace.WebRequestTraceFilter.doFilterInternal(WebRequestTraceFilter.java:110) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.tuckey.web.filters.urlrewrite.RuleChain.handleRewrite(RuleChain.java:176) at org.tuckey.web.filters.urlrewrite.RuleChain.doRules(RuleChain.java:145) at org.tuckey.web.filters.urlrewrite.UrlRewriter.processRequest(UrlRewriter.java:92) at org.tuckey.web.filters.urlrewrite.UrlRewriteFilter.doFilter(UrlRewriteFilter.java:389) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.RequestContextFilter.doFilterInternal(RequestContextFilter.java:99) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HttpPutFormContentFilter.doFilterInternal(HttpPutFormContentFilter.java:105) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.HiddenHttpMethodFilter.doFilterInternal(HiddenHttpMethodFilter.java:81) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at org.springframework.web.filter.CharacterEncodingFilter.doFilterInternal(CharacterEncodingFilter.java:197) at org.springframework.web.filter.OncePerRequestFilter.doFilter(OncePerRequestFilter.java:107) at org.apache.catalina.core.ApplicationFilterChain.internalDoFilter(ApplicationFilterChain.java:193) at org.apache.catalina.core.ApplicationFilterChain.doFilter(ApplicationFilterChain.java:166) at 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org.apache.coyote.http11.Http11Processor.service(Http11Processor.java:799) at org.apache.coyote.AbstractProcessorLight.process(AbstractProcessorLight.java:66) at org.apache.coyote.AbstractProtocol$ConnectionHandler.process(AbstractProtocol.java:861) at org.apache.tomcat.util.net.NioEndpoint$SocketProcessor.doRun(NioEndpoint.java:1455) at org.apache.tomcat.util.net.SocketProcessorBase.run(SocketProcessorBase.java:49) at java.util.concurrent.ThreadPoolExecutor.runWorker(ThreadPoolExecutor.java:1149) at java.util.concurrent.ThreadPoolExecutor$Worker.run(ThreadPoolExecutor.java:624) at org.apache.tomcat.util.threads.TaskThread$WrappingRunnable.run(TaskThread.java:61) at java.lang.Thread.run(Thread.java:748)