el-Gammal T A, Blair W F
Department of Orthopaedics, University of Iowa Hospitals and Clinics.
J Hand Surg Br. 1991 Nov;16(4):382-5. doi: 10.1016/0266-7681(91)90007-b.
Digital periarterial sympathectomy was performed on 11 digits in three patients with chronic digital ischaemia which was a manifestation of either Raynaud's disease, C.R.E.S.T. syndrome or traumatic ulnar artery thrombosis. Before operation, all patients had pain in the affected fingers and five digits had ulcers, two of which were infected. Using the operating microscope, the adventitia was stripped circumferentially over the distal 2 cm. of the common digital arteries, the bifurcation and the proximal 1 cm. of the proper digital arteries distal to the bifurcation. The same procedure was repeated, at the wrist level, for the ulnar artery and/or the radial artery and its dorsal branch. Follow-up ranged from three to 16 months. After two weeks, all patients reported relief of pain and the ulcers were progressively healing. By three months, all ulcers had healed.
对3例患有慢性手指缺血的患者的11个手指进行了数字动脉周围交感神经切除术，这些患者的慢性手指缺血表现为雷诺病、CREST综合征或创伤性尺动脉血栓形成。术前，所有患者患指均有疼痛，5个手指有溃疡，其中2个感染。使用手术显微镜，在指总动脉远端2厘米、分叉处以及分叉远端的指固有动脉近端1厘米处环形剥离外膜。在腕部水平，对尺动脉和/或桡动脉及其背支重复相同的操作。随访时间为3至16个月。两周后，所有患者均报告疼痛缓解，溃疡逐渐愈合。到三个月时，所有溃疡均已愈合。
