Shor N A, Zhadanov V I
Klin Khir. 2009 Oct(10):25-8.
Indications for lumbar sympathectomy performance in patients, suffering obliterating atherosclerosis with chronic critical ischemia, were substantiated. To prognosticate the operation result there were analyzed clinical data and data of instrumental investigation of 290 patients, permitting to estimate the state of macrohemodynamics (roentgencontrast arteriography, ultrasonic dopplerometry, rheova-sography) and microcirculation (laser Doppler's flowmetry--LDF). Initial indices of macro- and microhemodynamics on the foot are the important prognostication factors to predict the result of operation. Positive immediate postoperative results were achieved in 93.4% of patients, including 92.1%--while taking into account the macrohemodynamics indices and 96.4%--those, depicting the state of microcirculation.
证实了在患有闭塞性动脉粥样硬化并伴有慢性严重缺血的患者中进行腰交感神经切除术的适应症。为了预测手术结果，分析了290例患者的临床数据和仪器检查数据，从而能够评估宏观血流动力学（X线造影动脉造影、超声多普勒测量法、血流图）和微循环（激光多普勒血流仪——LDF）的状态。足部宏观和微观血流动力学的初始指标是预测手术结果的重要预后因素。93.4%的患者术后立即取得了积极效果，其中考虑宏观血流动力学指标的患者为92.1%，描述微循环状态的患者为96.4%。
