Miminoshvili O I, Perepelitsa S V, Shapovalov I N
Klin Khir. 2010 Oct(10):16-9.
Comparative analysis of thoracic sympathectomy efficacy, performed for Raynaud's phenomenon (RP), was accomplished, concerning application either endoscopic or open method. In 62 patients, suffering RP, open or endoscopic thoracic sympathectomy was done in surgical and vascular departments in 1997-2007 yrs. In 32 (51.61%) patients there was performed endoscopic thoracic sympathectomy, in 30 (48.39%)--upper thoracic sympathectomy, using extrapleural supraclavicular access, according to V. N. Klimenko. Immediate results of upper thoracic sympathectomy did not differ trustworthy depending on any method or access. Late follow-up results of upper thoracic sympathectomy were worse than immediate results by 28%--in endoscopic variant and by 43% --in the open one. The positive results rate after endoscopic thoracic sympathectomy have exceeded that after conducting the open one by 15.18%.
针对雷诺现象（RP）实施的胸交感神经切除术疗效的比较分析，涉及内镜或开放手术方法的应用。1997年至2007年期间，在外科和血管科对62例患有RP的患者进行了开放或内镜胸交感神经切除术。32例（51.61%）患者接受了内镜胸交感神经切除术，30例（48.39%）患者根据V. N. 克利缅科的方法，采用胸膜外锁骨上入路进行了上胸交感神经切除术。上胸交感神经切除术的即时效果在任何方法或入路方面并无显著差异。上胸交感神经切除术的后期随访结果比即时结果差28%（内镜手术方式）和43%（开放手术方式）。内镜胸交感神经切除术后的阳性结果率比开放手术高出15.18%。
