Fontaine J L, Leonard P
MMW Munch Med Wochenschr. 1979 Mar 23;121(12):413-8.
Two types of sympathectomy are common today, the lumbar and the cervicothoracic. It is a simple operation with extremely low mortality and morbidity although the patients are frequently of an advanced age. 8--10 days after the operation pains may occur, especially at night. The authors observed them in 3--15% of cases after lumbar sympathectomy, more rarely after cervicothoracic sympathectomy. The pains usually disappear after a few weeks or months. Sexual disturbances may occur in about 10--15% of young men. Therefore in these patients the first two lumbar ganglia should be spared. Arterial obstructions above all arteriosclerotic occlusions are the most important and most frequent indications for surgery of the sympathetic nervous system. Statistics from the Strasburg Hospital yielded a total of 56% good and very good results in 666 lumbar sympathectomies, and 31.2% successes even in Fontaine's stage IVa.
如今常见的交感神经切除术有两种类型，即腰交感神经切除术和颈胸交感神经切除术。这是一种简单的手术，尽管患者年龄往往偏大，但死亡率和发病率极低。术后8至10天可能会出现疼痛，尤其是在夜间。作者观察到，腰交感神经切除术后3%至15%的病例会出现这种疼痛，颈胸交感神经切除术后则较少见。疼痛通常在几周或几个月后消失。约10%至15%的年轻男性可能会出现性功能障碍。因此，在这些患者中应保留前两个腰神经节。动脉阻塞，尤其是动脉硬化闭塞，是交感神经系统手术最重要和最常见的适应证。斯特拉斯堡医院的统计数据显示，在666例腰交感神经切除术中，总共有56%的结果良好或非常好，即使在丰坦IVa期，成功率也达到31.2%。
