Langeron P, Bastide G
Faculté libre de Médecine de Lille.
Chirurgie. 1992;118(9):522-8.
The old procedure of lumbar sympathectomy has long been the only chance of avoiding amputation for arteritic patients. Its field of application has shifted as reconstructive surgery and medical therapy made progress, and it is no longer the only solution and has more precise indications. Proper evaluation of its chances of success according to the individual situations allows establishing its potential and limitations. This simple procedure, entailing no risk for the future, deserves remaining among the available means for the treatment of arteritis, despite its age.
长期以来,传统的腰交感神经切除术一直是动脉炎患者避免截肢的唯一机会。随着重建手术和药物治疗的进展,其应用范围发生了变化,它不再是唯一的解决方案,且适应证更加精确。根据个体情况正确评估其成功几率,有助于明确其潜力和局限性。尽管这种简单的手术年代已久,但因其对未来无风险,仍应保留在动脉炎的现有治疗手段之中。