Üst ekstremite primer hiperhidrosis olgularında T2-T3 perkütan radiofrekans termokoagülasyon yöntemi ile sempatektomi

Öz

Terleme sempatik sinir sistemi tarafından kontrol edilir ve vücudun ısı ve elektrolit dengesini düzenlemeye yardımcı olur. Populasyonun %1 kadarında bir takım nedenlerden dolayı aşırı terleme gözlenebilir. Yaşam kalitesi açısından önemli olan hiperhidrozisin tedavisinde pek çok yöntem kullanılmaktadır. Medikal tedaviye dirençli primer hiperhidrozisli dört hastada, stellat ganglionun anterior yaklaşımla radiofrekans termokoagülasyonu daha sonra da T2-T3 sempatik gangliona radiofrekans termokoagülasyonunun yanıtı değerlendirildi. İşlem süresinin kısa olması, hasta memmuniyeti, hastanede kalış süresinin az olması ve iş güç kaybına neden olmaması diğer cerrahi yöntemlere göre hem daha az invaziv olması hem de maliyetinin daha az olması hastanın genel anestezi almaması açısından avantajlı ve başarılı bir yöntem olduğunu düşünüyoruz. Primer hyperhidrosisin tedavisinde radiofrekans termokoagülasyon yöntemi ile stellat ve T2-T3 sempatektominin kesinlikle faydalı bir teknik olduğunu gördük.

Anahtar Kelimeler

• Primer hiperhidrozis
• Radiofrekans termokoagülasyon
• T2-T3 sempatektomi
• Stellat ganglion radiofrekans

Sympathectomy with T2-T3 percutaneous radiofrequency thermocoagulation method in upper extremity primary hyperhidrosis cases

Abstract

Sweating is controlled by the sympathetic nervous system and helps regulate the body's heat and electrolyte balance. Excessive sweating may be observed in about 1% of the population due to a number of reasons. Many methods are used in the treatment of hyperhidrosis, which is important for quality of life. In four patients with primary hyperhidrosis resistant to medical treatment, radiofrequency thermocoagulation of the stellate ganglion with an anterior approach and then the response of radiofrequency thermocoagulation to the T2-T3 sympathetic ganglion were evaluated. We think that it is an advantageous and successful method in terms of being less invasive and cost effective compared to other surgical methods, as the procedure time is short, patient satisfaction, hospitalization time is low. We have seen that stellate and T2-T3 sympathectomy with radiofrequency thermocoagulation method is a useful technique in the treatment of primary hyperhidrosis.

Keywords

• Primer Hyperhidrosis
• Radiofrecans Thermocoagulations,
• T2–T3 Sympatectomy
• Stellat Ganglion Radiofrecans

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