Munn J S, Baker W H
Surgery. 1987 Jul;102(1):102-5.
Reflex sympathetic dystrophy comprises a group of disorders characterized by disabling pain and vasomotor disturbances. Sympathectomy has become a mainstay of therapy. Recurrent symptoms following sympathectomy have been attributed to incorrect diagnosis, delayed treatment, or secondary gains. This report concerns a case of lower-extremity reflex sympathetic dystrophy that recurred following an initially curative sympathectomy and that responded to treatment with contralateral sympathectomy. We suggest that these recurrent symptoms may be due to reinnervation from the contralateral lumbar sympathetic chain.
反射性交感神经营养不良包括一组以致残性疼痛和血管舒缩功能障碍为特征的病症。交感神经切除术已成为主要的治疗方法。交感神经切除术后复发症状归因于诊断错误、治疗延迟或继发获益。本报告涉及一例下肢反射性交感神经营养不良病例，该病例在最初治愈性交感神经切除术后复发，并对侧交感神经切除术治疗有反应。我们认为这些复发症状可能是由于对侧腰交感神经链的重新支配所致。
