在未成年人中,是否存在复发的风险,这会阻止对超的交感切除术?
Sara Degiovanni1, Francesco Petrella1, Ugo Cioffi2
1Department of Thoracic Surgery, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
Journal of clinical medicine
|November 27, 2025
概括
青少年初级手掌透症 (PPH) 的交感切除显示出较低的复发率,与成年人相比. 这支持早期手术干预PPH,即使在未成年人中,患者满意度很高.
科学领域:
- 外科手术 手术手术
- 青少年医学 青少年医学
- 皮肤病学 皮肤病学
背景情况:
- 主要手掌透症 (PPH) 显著影响青少年的社会生活.
- 由于年轻患者的潜在复发,PPH的手术时间仍在争论中.
研究的目的:
- 评估在18岁以下的患者中对PPH的交友切除术的复发率.
- 为了评估补偿性出汗和手术后的患者满意度.
主要方法:
- 对28名患者 (<18岁) 的回顾性队列研究,这些患者为PPH (HDSS类4) 接受了交感切除术.
- 在平均75个月的随访期间,收集了关于复发,补偿性出汗和满意度的数据.
主要成果:
- 复发率在中位数随访时为10.71%.
- 补偿性出汗发生在22名患者中 (60.7%轻度).
- 患者满意度得分的中位数为9.34/10.
结论:
- 在未成年人中长期的数据与成人队列在PPH管理和复发方面保持一致.
- 交感切除术是青少年PPH的一个可行的手术选择,即使在年轻时也是如此.
- 低复发率和高满意度支持PPH的早期手术干预.
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