Mockus M B, Rutherford R B, Rosales C, Pearce W H
Arch Surg. 1987 Jun;122(6):668-72. doi: 10.1001/archsurg.1987.01400180050009.
Thirty-four sympathectomies were performed for causalgic pain. Overt extremity trauma was the precipitating event in only 26%. In 48%, nerve compression requiring surgical relief preceded the onset of the pain; most common lumbar disk surgery (37%). In the remainder (26%), miscellaneous vascular conditions contributed. Satisfactory immediate relief was obtained in 97% and 61% were completely relieved of pain initially. There were no deaths, 10% wound complication rate, and one instance of Horner's syndrome. Postsympathectomy neuralgia occurred in close to 40%, lasted a little over a month on the average but did not persist beyond ten weeks. In extended follow-up, only one patient failed to sustain satisfactory relief (97% of those relieved, 94% of the total) and 84% continued to enjoy the same degree of relief as they had immediately preoperatively. This frequency, degree, and duration of benefit establishes causalgic pain as one of the best indications for surgical sympathectomy.
为治疗灼痛进行了34例交感神经切除术。仅有26%的病例中，明显的肢体创伤是引发事件。在48%的病例中，疼痛发作前存在需要手术缓解的神经压迫；最常见的是腰椎间盘手术（37%）。在其余（26%）的病例中，各种血管疾病是病因。97%的患者获得了满意的即刻缓解，61%的患者最初完全缓解了疼痛。无死亡病例，伤口并发症发生率为10%，有1例霍纳综合征。交感神经切除术后神经痛发生率接近40%，平均持续略超过一个月，但未超过十周。在长期随访中，只有1例患者未能持续获得满意的缓解（缓解患者中的97%，总患者中的94%），84%的患者继续享有与术前即刻相同程度的缓解。这种获益的频率、程度和持续时间确立了灼痛是手术交感神经切除术的最佳适应证之一。
