CT 扫描引导下交感神经阻滞
在 CT 扫描引导下将苯酚或乙醇注射入交感神经链可实现非手术交感神经消融。[48]Lucas A, Rolland Y, Journeaux N, et al. Computed tomography guided thoracic sympatholysis for palmar hyperhidrosis. J Cardiovasc Surg. (Torino) 1998;39:387-389.http://www.ncbi.nlm.nih.gov/pubmed/9678568?tool=bestpractice.com[49]Lee KS, Chuang CL, Lin CL, et al. Percutaneous CT-guided chemical thoracic sympathectomy for patients with palmar hyperhidrosis after transthoracic endoscopic sympathectomy. Surg Neurol. 2004;62:501-505.http://www.ncbi.nlm.nih.gov/pubmed/15576115?tool=bestpractice.com一种可能的用途是用于:肺粘连造成的视野不清导致手术失败时,或最初的成功手术后出现复发时。
内镜下腹膜后腰椎交感神经切除术
一种针对难治性足跖多汗症的微创技术,涉及腰椎交感神经切除术。[50]Tseng MY, Tseng JH. Endoscopic extraperitoneal lumbar sympathectomy for plantar hyperhidrosis: case report. J Clin Neurosci. 2001;8:555-556.http://www.ncbi.nlm.nih.gov/pubmed/11683604?tool=bestpractice.com[51]Rieger R, Pedevilla S. Retroperitoneoscopic lumbar sympathectomy for the treatment of plantar hyperhidrosis: technique and preliminary findings. Surg Endosc. 2007;21:129-135.http://www.ncbi.nlm.nih.gov/pubmed/16960674?tool=bestpractice.com[52]Loureiro M de P, de Campos JR, Kauffman P, et al. Endoscopic lumbar sympathectomy for women: effect on compensatory sweat. Clinics. 2008;63:189-196.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322008000200006&lng=en&nrm=iso&tlng=enhttp://www.ncbi.nlm.nih.gov/pubmed/18438572?tool=bestpractice.com如果重度掌跖多汗症患者在接受胸腔镜交感神经切除术后仍然受到足底出汗困扰,则可以考虑该疗法。但该手术和代偿性出汗的可能性增加有关。