Dreyfus A, Fondras J C, Loubrieu G, Ntarundenga U
Service de chirurgie C, Centre hospitalier général, Bourges.
Agressologie. 1990 Apr;31(4):207-9.
One hundred and sixty two phenol chemical sympathectomy were achieved from 1982 to 1987. After one month and one year, 92 patients get a lasting improvement. The benefit is better for rest pain relief than for intermittent claudication and skin lesions of legs. Diabetic ischaemic disease increased risk of failure of sympathetic block. Results of chemical sympathectomy are similar to the surgical procedure and the incidence of complications is lower. It is concluded that the neurolytic block will be a satisfying experience in patients with obliterative arterial disease not suitable for vascular surgery.
1982年至1987年期间共进行了162例酚妥拉明化学性交感神经切除术。术后1个月和1年时，92例患者病情持续改善。该手术对缓解静息痛的效果优于间歇性跛行和腿部皮肤病变。糖尿病缺血性疾病会增加交感神经阻滞失败的风险。化学性交感神经切除术的结果与外科手术相似，且并发症发生率更低。结论是，对于不适合血管手术的闭塞性动脉疾病患者，神经溶解阻滞将是一种令人满意的治疗方法。
