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Brachial artery blood flow velocity and temperature detection palm thoracic sympathectomy in the clinical significance of amputation


Lost and (or) recurrence rate of 2% ~ 6% 'J. There was no recurrence in this group. We understand, pleural thickening,mbt scarpe, and pleural adhesions obesity, caused by technical difficulties in the identification of neural stem and failure and recurrence. Therefore,puma, we should ChinJThoraeCardiovascSurg,belstaff espana, December2006Vo1.22No. 6 emphasized clearly identified in the thoracic surgery 2 to 4 and completely cut off the sympathetic ganglia, including the gray and white sticks of support to prevent the nerve fiber regeneration. Vana-clocha other proposed surgery palmar skin temperature measurements, if increased by 1. That full and complete nerve above. The results showed that this group of hand temperature on the wet type of palmar hyperhidrosis (mean increase of 2 to 3 degrees) to accurately reflect the nerve has been cut off completely,tory burch flats, but no significant temperature rise palm wet warm type of palmar hyperhidrosis (mean increase <1 degree), is still difficult to determine whether neural stem completely cut off completely. In addition, when the room temperature operation may also cause interference surgeon misjudgments. Therefore, to find a quick and effective way to make up for lack of hand temperature is especially important. Cut through the sympathetic trunk before and after the color Doppler ultrasound of brachial artery blood flow velocity changes in the results shows that with the stem cut off, blood vessel diameter widened, blood flow, systolic and diastolic positive terminal value of the increased correlation (P <0.05), and pulsatility index, systolic / diastolic ratio was negatively correlated with reduced (P <0.05), that can not only accurately reflect its stem cut off completely or not, has proved that neural stem cut off increased immediately after the hand skin temperature and brachial artery dilation, increased blood flow related. The combination of the two detection methods is surgery to determine whether neural stem off completely effective way to effect and prognosis.

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