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目的:探讨CT引导下经皮穿刺射频热凝治疗原发性头、手多汗症的疗效及并发症。方法:对宁波市康复医院疼痛科自2017年6月至2019年5月收治的30例原发性头、手多汗症患者予CT引导下经皮穿刺Tn 3或Tn 4交感神经链射频热凝治疗，并随访12个月以评估患者疗效及总结并发症发生情况。n 结果:术后24例患者的多汗症状明显改善，总体满意率为80%。术中5例患者出现胸腔、肺部穿刺损伤，其中4例为气胸、1例为血胸；术后7例患者出现胸背、腋下或上臂疼痛麻木，10例患者出现胸背代偿性多汗，2例患者出现胸背及双侧足部代偿性多汗。结论:CT引导下经皮穿刺射频热凝治疗原发性头、手多汗症有着长期的治疗效果及相对较低的并发症。“,”Objective:To study the treatment efficacy of percutaneous radiofrequency thermocoagulation in patients with hyperhidrosis of heads and palms.Methods:Thirty patients with primary hyperhidrosis of heads and palms, admitted to our hospital from June 2017 to May 2019, were chosen in our study. CT-guided percutaneous puncture of Tn 3 or Tn 4 and sympathetic ganglion radiofrequency thermocoagulation were given to all patients. The evaluation of curative effects and complications of these patients were summarized during the 12 months of follow up.n Results:The symptoms of hyperhidrosis in 24 patients got significant improvement, enjoying postoperative satisfaction rate of 80%. During the surgery, 5 patients suffered thoracic and lung puncture injury, including 4 with pneumothorax and one with hemothorax. Seven patients experienced pain and numbness in the chest, back, armpit or upper arm after surgery; 10 patients developed compensatory hyperhidrosis of the back, and two patients developed compensatory hyperhidrosis of the back and bilateral feet.Conclusion:Percutaneous radiofrequency is an effective treatment for hyperhidrosis that provides excellent immediate and long-term effect, as well as low complication rate.