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苯酚交感神经切除术治疗下肢有症状的纤维肌性血管发育异常

Phenol sympathectomy for symptomatic fibromuscular angiodysplasia of the lower limb.

作者信息

Mashiah A, Pasik S, David A

机构信息

Vascular Surgery Unit, Kaplan Hospital, Rehovot, Israel.

出版信息

J Cardiovasc Surg (Torino). 1989 Mar-Apr;30(2):244-5.

PMID:2708443
Abstract

Clinical manifestation of fibromuscular angiodysplasia of the lower extremities is often due to a spastic phase of the arteries, and may be severe enough to present as Raynaud's phenomenon. We describe a 37-year-old woman who suffered for a year from numbness and coldness of the foot and claudication over 30 meters. Angiography revealed fibromuscular angiodysplasia of the left superficial femoral artery, right anterior tibial artery and spastic changes in the peroneal artery. Phenol sympathectomy of the third lumbar ganglion resulted in dramatic relief of symptoms.

摘要

下肢纤维肌性血管发育异常的临床表现通常归因于动脉的痉挛期,严重时可能表现为雷诺现象。我们报告一例37岁女性,足部麻木、发凉伴30米以上间歇性跛行1年。血管造影显示左股浅动脉、右胫前动脉纤维肌性血管发育异常,腓动脉痉挛。第三腰神经节酚妥拉明交感神经切除术使症状显著缓解。

相似文献

1
Phenol sympathectomy for symptomatic fibromuscular angiodysplasia of the lower limb.苯酚交感神经切除术治疗下肢有症状的纤维肌性血管发育异常
J Cardiovasc Surg (Torino). 1989 Mar-Apr;30(2):244-5.
2
[Fibromuscular dysplasia of the arteries of the leg. Apropos of 1 case].
J Mal Vasc. 1987;12(2):185-8.
3
Phenol lumbar sympathectomy in severe arterial disease of the lower limbs: a hemodynamic study.下肢严重动脉疾病的酚妥拉明腰交感神经切除术:一项血流动力学研究。
Int Surg. 1983 Apr-Jun;68(2):127-30.
4
[Fibromuscular dysplasia of the external iliac artery. Treatment by endoluminal angioplasty].[髂外动脉纤维肌发育不良。腔内血管成形术治疗]
J Radiol. 1988 Aug-Sep;69(8-9):549-51.
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[Our experience of lumbar chemical sympathectomy in arterial occlusive diseases of the lower limbs].[我们在下肢动脉闭塞性疾病中进行腰交感神经化学切除术的经验]
Agressologie. 1990 Apr;31(4):207-9.
6
Postural changes in femoral artery blood flow in normal subjects, patients with peripheral vascular occlusive disease and patients undergoing lumbar sympathectomy, measured by duplex ultrasound flowmetry.
Eur J Vasc Surg. 1992 Jul;6(4):408-15. doi: 10.1016/s0950-821x(05)80289-0.
7
Fibromuscular dysplasia in the extremities.四肢纤维肌发育异常
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8
Fibromuscular dysplasia of the external iliac artery: treatment by percutaneous transluminal angioplasty.
Br J Radiol. 1988 Nov;61(731):1080-2. doi: 10.1259/0007-1285-61-731-1080.
9
[Lumbar sympathectomy for occlusion of thesuperficial femoral artery (author's transl)].
Acta Chir Belg. 1977 Jan;76(1):109-12.
10
[Lumbar sympathectomy].
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