Kokhan E P, Pinchuk O V, Kokhan V E
Khirurgiia (Mosk). 2000(11):41-3.
In the elderly and old patients with atherosclerosis of lower limb arteries, ultrasonic dopplerography assisted study of hemodynamics in foot with use of Valsalva and corinfar tests was carried out. It is revealed that these patients retain high reaction to sympathetic influences. The obtained data were the base for use of lumbar sympathectomy in 419 patients over 65 years as an independent method of surgical treatment and in combination with reconstructive operations on major arteries. Good results were obtained in 70.1% operated patients, satisfactory results--in 22.7%. There were no significant differences in the results of lumbar sympathectomy between this age group and younger patients.
对老年及老年下肢动脉硬化患者，采用瓦氏动作（Valsalva）和科林法尔试验（corinfar test），利用超声多普勒成像辅助研究足部血流动力学。结果显示，这些患者对交感神经影响仍有高度反应。所获数据成为对419名65岁以上患者实施腰交感神经切除术的依据，该手术既可作为独立的外科治疗方法，也可与大动脉重建手术联合使用。70.1%的手术患者取得了良好效果，22.7%的患者效果令人满意。该年龄组患者与年轻患者腰交感神经切除术的结果无显著差异。
