手掌多汗症常見治療方式
手掌多汗症常見的內科療法有內服(例如中藥及西藥)、外用(例如汗力克、電泳法、優得芬或施打肉毒桿菌)，效果短暫或有副作用。
因手掌汗腺(上圖, sweat gland處)由第一到第八胸脊髓(上圖,T1到T8)的側柱，其所發出神經纖維到達脊椎前位的兩側交感神經節所控制，針對控制手掌多汗之交感神經節治療即能治癒。手掌多汗症病因是因為交感神經過於亢進導致，因此，只能以外科手術才能長期有效。
▶了解立體定位療法：官網
▶參考文獻：
1.Smith Christopher and David Pariser, Primary focal hyperhidrosis, UpToDate 2012
2. Smith Christopher and David Pariser, Primary focal hyperhidrosis, UpToDate 2016
3.Chuang KS and Liu JC, Long-term assessment of percutaneous stereotactic thermocoagulation of upper thoracic ganglionectomy and sympathectomy for palmar and craniofacial hyperhidrosis in 1742cases. Neurosurgery, 2002 51(4):963-970.
4. Yang Jie, Tan JJ, Ye GL, etc. T3/T4 thoracic sympathictomy and compensatory sweating in treatment of palmar hyperhidrosis. Chin Med J, 2007: 120(18):1574-1577.
圖參考自 THE CIBA COLLECTION OF MEDICAL ILLUSTRATIONS Volume 1 Nervous System Part I Anatomy and Physiology FRANK H. NETTER, M.D. 1983
分享：傳達正確醫療知識｜互信原則｜雙向溝通
