Balogh Brigitta, Mayer W, Vesely M, Mayer S, Partsch H, Piza-Katzer H
Department of Plastic and Reconstructive Surgery, KH Lainz, Wien, Austria.
J Hand Surg Am. 2002 Nov;27(6):1073-80. doi: 10.1053/jhsu.2002.35887.
Adventitial stripping of the palmar arch, the palmar common digital arteries, or the proper digital arteries is a last resort in the treatment of refractory primary or secondary Raynaud's phenomenon. Seven patients who had adventitial stripping of the ulnar and radial arteries proximal to the wrist and resection of the nerve of Henle, if identifiable, are presented. All of them were evaluated by telethermography, acral rheography, and a questionnaire before and after surgery. All were asymptomatic after surgery with satisfactory healing of the ulcers at the fingertips. None of them relapsed during the follow-up time of 1.5 years.
掌弓、掌侧指总动脉或指固有动脉的外膜剥脱术是治疗难治性原发性或继发性雷诺现象的最后手段。本文介绍了7例患者，他们接受了腕部近端尺动脉和桡动脉的外膜剥脱术，并在可识别的情况下切除了亨利神经。所有患者在手术前后均通过远红外热像图、肢体血流图和问卷调查进行评估。术后所有患者均无症状，指尖溃疡愈合良好。在1.5年的随访期内，无一例复发。
