Weksler Benny, Luketich James D, Shende Manisha R
Heart, Lung and Esophageal Surgery Institute, University of Pittsburgh Medical Center, 200 Lothrop Street, Suite C-800, Pittsburgh, PA 15213, USA.
Thorac Surg Clin. 2008 May;18(2):183-91. doi: 10.1016/j.thorsurg.2008.01.006.
Several interventions are possible on the sympathetic chain and the nomenclature has been confusing. The authors propose a uniform nomenclature for each procedure, mainly, sympathectomy for resection or ablation of the ganglion, sympathicotomy for the transaction of the chain, ramicotomy for the procedure preserving the chain and ganglia and severing the rami, and finally, sympathetic block for clipping above and below the ganglia. They recommend intervention on the T2 ganglia for facial hyperhidrosis and rubor, on the T3 ganglia for palmar hyperhidrosis, and on the T3 and T4 ganglia for axillary hyperhidrosis.
对交感神经链可采取多种干预措施,且命名一直很混乱。作者为每个手术提出了统一的命名,主要包括:切除或消融神经节的交感神经切除术;切断交感神经链的交感神经切断术;保留神经链和神经节并切断分支的分支切断术;最后是夹闭神经节上下方的交感神经阻滞术。他们建议,对于面部多汗症和面部潮红,干预T2神经节;对于手掌多汗症,干预T3神经节;对于腋窝多汗症,干预T3和T4神经节。