Kaarela O, Raatikainen T, Carlson S, Huopaniemi T, Waris T
Department of Surgery, Oulu University Central Hospital, Finland.
J Hand Surg Br. 1991 Nov;16(4):386-8. doi: 10.1016/0266-7681(91)90008-c.
Perivascular sympathectomy has been thought to cause distal adrenergic denervation. We performed perivascular sympathectomy for a distance of 1 cm. on two common digital arteries in the right hands of two anaesthetised Macaca arctoides monkeys. Four days later, samples were taken for glyoxylic acid-induced fluorescence examination of the operated and opposite control hand. The distal adrenergic nerves were morphologically normal in appearance after the perivascular sympathectomy. The operation should perhaps be called adventitectomy rather than perivascular sympathectomy and its positive effects may be due to the loss of adventitial support for the vasospastic arteries rather than adrenergic denervation.
血管周围交感神经切除术一直被认为会导致远端肾上腺素能去神经支配。我们对两只麻醉的藏酋猴右手的两条指总动脉进行了1厘米距离的血管周围交感神经切除术。四天后，采集样本用于对手术侧手和对侧对照手进行乙醛酸诱导荧光检查。血管周围交感神经切除术后，远端肾上腺素能神经在形态上外观正常。该手术或许应称为外膜切除术而非血管周围交感神经切除术，其积极效果可能是由于血管痉挛性动脉失去了外膜支持，而非肾上腺素能去神经支配。
