Kwon Sung-tack, Eun Seok-chan, Baek Rong-min, Minn Kyung-won
Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Seoul, Republic of Korea.
J Plast Reconstr Aesthet Surg. 2009 Jul;62(7):e216-21. doi: 10.1016/j.bjps.2008.11.080. Epub 2009 Feb 13.
Although the literature suggests that sympathectomy alone may improve ischaemic digital pain, fingertip ulceration and cold intolerance in vaso-occlusive patients, questions regarding long-term efficacy remain. Two adult patients, aged 42 and 49 years, had severe digital ischaemia and ulceration in a finger and a toe, respectively, and arteriograms confirmed the occlusions of the superficial palmar arch and tarsal arch, respectively. Microsurgical re-vascularisation of the hand and foot and arch reconstruction were performed by using the greater saphenous vein for reconstruction. Following successful vascular reconstruction, digital temperatures, pain and cold sensitivity and health-related quality of life improved significantly. No recurrence has been encountered after X and Y months of follow-up.
尽管文献表明，单纯交感神经切除术可能会改善血管闭塞患者的缺血性手指疼痛、指尖溃疡和不耐寒症状，但关于其长期疗效仍存在疑问。两名成年患者，年龄分别为42岁和49岁，分别在手指和脚趾出现严重的手指缺血和溃疡，动脉造影分别证实了掌浅弓和跗弓的闭塞。通过使用大隐静脉进行重建，对手和脚进行了显微外科血管重建和弓重建。血管重建成功后，手指温度、疼痛、冷敏感性以及与健康相关的生活质量均有显著改善。在X和Y个月的随访后未发现复发情况。
