Long Term Follow up of Upper Dorsal Sympathetic Ganglionectomy for Palmar Hyperhidrosis - A Scale of Evaluation

手部多汗症經施行交感神經截除術後之長期追綜與評估方法

洪純隆(Shen-Long Howng) ； 羅永欽(Joon-Khim Loh)

《The Kaohsiung Journal of Medical Sciences》 3卷11期 (1987/11) Pp. 703-707

https://doi.org/10.6452/KJMS.198711.0703

摘要

Forty-one patients with primary hyperhidrosis underwent an upper dorsal sympathetic ganglionectomy by the dorsal (Adson)approach. Postoperative follow-up was conducted between 36 and 92 months. The immediate success rate was 100% and late recurrence of hyperhidrosis was noted in 9.7%. Troublesome compensatory hyperhidrosis occurred in 16 (39%) patients. Evaluation of patient satisfaction showed that 41.5% were very satisfied, 34.1% satisfied, 7.3% fair and 17.1%unsatisfied. This study utilized a scale with the following 3 criteria for evaluation of the success of the operation:1. compensatory hyperhidrosis 2. wound discomfort and 3. recurrence. Patient who achieved complete dryness of both hands and without the above 3 complications were considered as excellent. Patients who suffered from one complication were considered as good. And those with two complications were considered as fair. Those with three complications were considered as poor. This scale coincided with the patient’s self-satisfaction of the results (p＜0.005, Tau C=0.427, based on Tau C Test). Thus this scale which classified excellent, good fair and poor conditions could serve as a more objective evaluation tool in the follow-up of post-operative hyperhidrotic patients.

並列摘要

Forty-one patients with primary hyperhidrosis underwent an upper dorsal sympathetic ganglionectomy by the dorsal (Adson)approach. Postoperative follow-up was conducted between 36 and 92 months. The immediate success rate was 100% and late recurrence of hyperhidrosis was noted in 9.7%. Troublesome compensatory hyperhidrosis occurred in 16 (39%) patients. Evaluation of patient satisfaction showed that 41.5% were very satisfied, 34.1% satisfied, 7.3% fair and 17.1%unsatisfied. This study utilized a scale with the following 3 criteria for evaluation of the success of the operation:1. compensatory hyperhidrosis 2. wound discomfort and 3. recurrence. Patient who achieved complete dryness of both hands and without the above 3 complications were considered as excellent. Patients who suffered from one complication were considered as good. And those with two complications were considered as fair. Those with three complications were considered as poor. This scale coincided with the patient’s self-satisfaction of the results (p＜0.005, Tau C=0.427, based on Tau C Test). Thus this scale which classified excellent, good fair and poor conditions could serve as a more objective evaluation tool in the follow-up of post-operative hyperhidrotic patients.

並列關鍵字

hyperhidrosis ； sympathetic ganglionectomy ； scale