2014/10/2

手汗治療專家莊金順醫師-在台灣治療1742位患者的論文佐證





手汗治療專家莊金順醫師-在台灣治療1742位患者的論文佐證<Neurosurgery, 51:963-970,2002 >



手汗治療專家莊金順醫師-在台灣治療1742位患者的論文佐證

Long-term Assessment of Percutaneous Stereotactic Thermocoagulation of Upper Thoracic Ganglionectomy and Sympathectomy for Palmar and Craniofacial Hyperhidrosis in 1742 Cases 

Chuang, King-Shun M.D.[1], Liu, Jiang-Chuan D.D.S., Ph.D.[2] 
1-Division of Neurosurgery, Foo-Yin Technological University Hospital, Ping-Tung Hsien, and Laboratory of Neuroscience, National Defense Medical Center, Taipei, Taiwan, Republic of China; 2-Department of Biology and Anatomy, National Defense Medical Center, Taipei, Taiwan, Republic of China 
Neurosurgery, 51:963-970,2002 

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Abstract 

OBJECTIVE : We sought to determine the long-term outcome of percutaneous stereotactic thermocoagulation for upper thoracic ganglionectomy and sympathectomy in patients with palmar and craniofacial hyperhidrosis with the use of a three-dimensional system of coordinates for the location of the T2 and T3 ganglia on the basis of the findings in a cadaveric study. 

METHODS : From November 1986 to May 1998, upper thoracic ganglionectomy and sympathectomy with the use of percutaneous stereotactic thermocoagulation were performed in 1688 patients with palmar hyperhidrosis and 54 patients with craniofacial hyperhidrosis as outpatient surgical procedures based on a three-dimensional coordinate system for determining the location of the thermocoagulation point, which was developed by the authors in a cadaveric study. The technique requires only local anesthesia. 

RESULTS : After initial thermocoagulation, sweating stopped in 3465 (99.5%) of 3484 sides. Hyperhidrosis recurred within 2 to 59 months of treatment in 268 procedures. All patients in whom hyperhidrosis recurred were retreated successfully, resulting in a final success rate of 99.9%. Complications of treatment included pneumothorax in seven procedures (0.2%) and partial Horner's syndrome in five procedures (0.15%). Decreased plantar sweating was noted during follow-up in 92% of patients. 

CONCLUSION : The results of this study indicate that upper thoracic ganglionectomy and sympathectomy performed with the use of percutaneous thermocoagulation are a very effective treatment for palmar and craniofacial hyperhidrosis that provides excellent immediate and long-term results as well as a low complication rate. The method is also effective as a retreatment for recurrences. Our data also suggest that performing ganglionectomy and sympathectomy in both T2 and T3 is unnecessary, because the procedure had equal long-term effectiveness when performed in T2 alone. 


2002年美國四位神經外科專科醫師對本論文的高度肯定。

手汗治療專家莊金順醫師-在台灣治療1742位患者的論文佐證的論文評論

手汗治療專家莊金順醫師-在台灣治療1742位患者的論文佐證的論文評論


有記錄到的台灣患者


20116月至20137月這段期間,莊醫師到大陸診治,那時台灣有五位手汗症患者特地到大陸找莊醫生治療。

  • 一位為台南郭X韻小姐(在深圳市仁濟醫院治療)
  • 一位為加拿大華人周書左先生(在廣州市中山醫科大學門診部治療)
  • 兩位為花蓮電力公司某先生的女兒(在深圳市仁濟醫院治療),某先生在79年時到高雄建國一路32號「莊金順腦神經外科診所」治好
  • 一位為李X鳳先生(在上海禾新醫院治療)









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