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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(2):163-168.
The Change of Skin Temperature after Thoracic Sympathectomy in Patients with Palmar Hyperhidrosis.
Park, Jeong Mee , Auh, Kyou Bom , Lee, Chong Kook , Kim, Sung Hoon , Kim, Yong Jin , Kim, Ik Soo
1Department of Rehabilitation Medicine, Yonsei University Wonju College of Medicine, Korea. kbauh@yahoo.co.kr
2Department of Thoracic and Cardiovascular Surgery, Yonsei University Wonju College of Medicine, Korea.
흉부 교감신경 절제술 후 수장 다한증 환자의 수부 온도 변화
박정미, 어규범, 이종국1, 김성훈, 김용진, 김익수
연세대학교 원주의과대학 재활의학교실, 1흉부외과학교실
The purposes of this study were to evaluate the change of temperature before and after thoracic sympathectomy in patients with palmar hyperhidrosis and to find the usefulness of infrared thermography for the assessment of effects of thoracic sympathectomy.
The skin temperature was measured before, one day and 30 days after sympathectomy in 28 patients with palmar hyperhidrosis. Temperature was recorded on forehead, cheek, neck, axilla, umbilicus and 6 sites of each hand and foot by infrared thermography and thermometer. Patient's satisfaction with operation was assessed by 10 point scale.
All patient who had undergone sympathectomyshowed significantly decreased discomfort owing to hyperhidrosis by 10 point scale (p<0.05). The temperature significantly elevated on postoperative 1 day and 30 days on both palms as compared with preoperative state, bilaterally (p<0.05). There were no significant differences of sole temperatures among preoperative, postoperative 1 day and postoperative 30 days, bilaterally.
We proved significant effect of thoracic sympathectomy to the patients with palmar hyperhidrosis objectively, and we also quantified the elevation of palm temperature after sympathectomy. (J Korean Acad Rehab Med 2006; 30: 163-168)
Key Words: Palmar hyperhidrosis, Thoracic sympathectomy, Infrared thermography, Skin temperature


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