ABSTRACT
Objective:To study the treatment efficacy of percutaneous radiofrequency thermocoagulation in patients with hyperhidrosis of heads and palms.Methods:Thirty patients with primary hyperhidrosis of heads and palms, admitted to our hospital from June 2017 to May 2019, were chosen in our study. CT-guided percutaneous puncture of T 3 or T 4 and sympathetic ganglion radiofrequency thermocoagulation were given to all patients. The evaluation of curative effects and complications of these patients were summarized during the 12 months of follow up. Results:The symptoms of hyperhidrosis in 24 patients got significant improvement, enjoying postoperative satisfaction rate of 80%. During the surgery, 5 patients suffered thoracic and lung puncture injury, including 4 with pneumothorax and one with hemothorax. Seven patients experienced pain and numbness in the chest, back, armpit or upper arm after surgery; 10 patients developed compensatory hyperhidrosis of the back, and two patients developed compensatory hyperhidrosis of the back and bilateral feet.Conclusion:Percutaneous radiofrequency is an effective treatment for hyperhidrosis that provides excellent immediate and long-term effect, as well as low complication rate.
ABSTRACT
Primary hyperhidrosis is a chronic disease that does not meet the normal body temperature regulation and causes excessive sweating. The common sweating parts include the head, palm, armpit, chest and back, and the soles of the feet, which can seriously affect the patient's learning, socialization, and jobs. Radiofrequency thermocoagulation is a safe and effective treatment for primary hyperhidrosis. This article reviews the research progress of radiofrequency thermocoagulation in the treatment of primary hyperhidrosis, so as to provide some references for clinical workers.
