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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(5):543-549.
The Changes of Skin Temperature and Sympathetic Skin Response after Thoracic Sympathectomy in Patients with Palmar Hyperhidrosis.
Park, Jeong Mee , Kim, Ki Wan , Lee, Chong Kook , Park, Seung Il , Kang, Seok Jeong , Kim, Jin Won , Lee, Yang Tark
1Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Korea. pjm219@wonju.yonsei.ac.kr
2Department of Thoracic Cardiovascular Surgery, Yonsei University Wonju College of Medicine, Korea.
흉부교감신경 절제술 후의 교감신경 반응 검사와 피부 온도 변화 양상
박정미, 김기완, 이종국1, 박승일1, 강석정, 김진원, 이양탁
연세대학교 원주의과대학 재활의학교실, 1흉부외과학교실
Abstract

Objective
The purposes of these study were to evaluate the changes of temperature and sympathetic skin response (SSR) before and after sympathectomy in patients with palmar hyperhidrosis and to quantify long standing effect of sympathectomy.


Method
The SSR and skin temperature were measured before, one day and 30 days after thoracoscopic sympathectomy. SSR was recorded from palm and sole bilaterally. Temperature was recorded on 9 sites of each hand and 11 site of each sole. Patient's satisfaction with operation was assessed by 10-point scale.


Results
One day after sympathectomy, the amplitude of SSR was significantly decreased and latency of SSR was delayed in all cases on bilateral palm and sole. However, after sympathectomy 30 days, the amplitude of SSR was normalized in all cases on bilateral sole. All patients who had undergone sympathectomy showed significant clinical improvement. The temperature increased dramatically over 3oC on postoperation 1 day and maintained 1.72oC higher in post-operation 30 days than pre-operation on both hands. There was no significant difference of temperature among pre-operation and post-operation 1 day and post-operation 30 days on sole.


Conclusion
Our study proved effect of thoracoscopic sympathectomy to the patients with palmar hyperhidrosis objectively and quantified the decrement of sympathetic tone. Further study is needed for long term follow up over 2 months or more. (J Korean Acad Rehab Med 2002; 26: 543-549)

Key Words: Hyperhidrosis, Thoracoscopic sympathectomy, Sympathetic skin response


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