내시경 흉부 교감신경절제술 후 환자의 경험과 보상성 다한증 및 재발의 예후인자(한국자료)

출처: <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/" target="_blank" class="ke-link">https://pubmed.ncbi.nlm.nih.gov/35534737/</a> Surg Endosc 2022 May 9.doi: 10.1007/s00464-022-09284-w. Online ahead of print. Patient experience and prognostic factors of compensatory hyperhidrosis and recurrence after endoscopic thoracic sympathicotomy (한국 자료)내시경 흉부 교감신경절제술 후 환자의 경험과 보상성 다한증 및 재발의 예후인자 <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Woo+W&cauthor_id=35534737" target="_top" class="ke-link">Wongi Woo</a> <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/#affiliation-1" target="_top" class="ke-link"> 1 </a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Kim+BJ&cauthor_id=35534737" target="_top" class="ke-link">Bong Jun Kim</a> <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/#affiliation-1" target="_top" class="ke-link"> 1 </a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Kang+DY&cauthor_id=35534737" target="_top" class="ke-link">Du-Young Kang</a> <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/#affiliation-2" target="_top" class="ke-link"> 2 </a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Won+J&cauthor_id=35534737" target="_top" class="ke-link">Jongeun Won</a> <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/#affiliation-1" target="_top" class="ke-link"> 1 </a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Moon+DH&cauthor_id=35534737" target="_top" class="ke-link">Duk Hwan Moon</a> <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/#affiliation-1" target="_top" class="ke-link"> 1 </a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?term=Lee+S&cauthor_id=35534737" target="_top" class="ke-link">Sungsoo Lee</a> <a href="https://pubmed.ncbi.nlm.nih.gov/35534737/#affiliation-3" target="_top" class="ke-link"> 3 </a>Affiliations<ul style="list-style-type: disc;" data-ke-list-type="disc"><li>PMID: 35534737</li><li>DOI: <a href="https://doi.org/10.1007/s00464-022-09284-w" target="_blank" class="ke-link"> 10.1007/s00464-022-09284-w </a></li></ul>Abstract Objective: We aimed to investigate compensatory hyperhidrosis (CH) and recurrence based on an online survey of patients who underwent endoscopic thoracic sympathicotomy(ETS) for palmar and/or axillary hyperhidrosis.목적: 손바닥 및/또는 겨드랑이 다한증으로 내시경 흉부 교감신경절개술(ETS)을 시행한 환자를 대상으로 한 온라인 설문조사를 기반으로 보상성 다한증(CH)과 재발을 조사하고자 했습니다.  Methods: We enrolled 231 patients who underwent ETS for palmar and/or axillary hyperhidrosis from January 2008 to April 2021. Patients responded to an online questionnaire regarding CH and recurrence, their electronic medical records were reviewed. Logistic regression was performed to find the risk factors related to CH and recurrence.방법: 2008년 1월부터 2021년 4월까지 손바닥 및/또는 겨드랑이 다한증으로 ETS를 시행한 231명의 환자를 등록했습니다. 환자는 CH 및 재발에 관한 온라인 설문에 응답하고 전자 의료 기록을 검토했습니다. 로지스틱 회귀는 CH 및 재발과 관련된 위험 인자를 찾기 위해 수행하였습니다.  Results: The median time of survey from surgery was 20 months. Although 94% of patients were satisfied with the surgery, 86.1% experienced CH; of them, it was severe in 30.7%. Three months after surgery, there was no long-term change in the severity of CH. The development of CH showed a close relationship with age of 20 years or more (OR: 2.73). Recurrence occurred in 44(19.0%) patients, and the use of anti-adhesive agents was a significant preventive factor against recurrence after ETS (OR: 0.42).결과: 수술 후 조사 기간의 중앙값은 20개월이었다. 환자의 94%가 수술에 만족했지만 86.1%는 CH를 경험했습니다. 그 중 30.7%가 심했습니다. 수술 후 3개월 동안 CH의 중증도에는 장기적인 변화가 없었습니다. CH의 발생은 20세 이상의 연령과 밀접한 관계를 보였습니다(OR: 2.73). 재발은 44명(19.0%)에서 발생하였고, 유착방지제의 사용은 ETS 후 재발에 대한 유의한 예방인자였습니다(OR: 0.42).  Conclusions: We observed that CH and recurrence after ETS for palmar and/or axillary hyperhidrosis were relatively common. Age at the time of surgery was associated with CH, and the use of anti-adhesive agents showed to lower the risk of recurrence after ETS.결론: 손바닥 및/또는 겨드랑이 다한증에 대한 ETS 후 CH 및 재발이 비교적 흔함을 관찰했습니다. 수술 당시 연령은 CH와 관련이 있었고, 항유착제 사용은 ETS 후 재발 위험을 낮추는 것으로 나타났습니다.