Schmidt C, Fays J, Paille F, Schmitt J
J Mal Vasc. 1986;11(1):63-9.
Analysis of 356 angiographic images of hand from 216 patients with Raynaud's phenomenon confirmed the higher prevalence of occlusive arterial lesions (75% of cases) when compared with idiopathic Raynaud's syndrome. The ulnar artery (30% of cases) and digital collateral arteries of free borders of hand (45 to 62% of cases) were the most frequently affected. This preferential localization of the arterial thromboses can be explained by repeated microtrauma from manual occupations (markedly increased in cases of digital arteriopathy). Correlation between the occlusive lesions and a thoracic outlet syndrome is lacking.
对216例雷诺现象患者的356张手部血管造影图像分析证实,与特发性雷诺综合征相比,闭塞性动脉病变的患病率更高(75%的病例)。尺动脉(30%的病例)和手部游离缘的指侧副动脉(45%至62%的病例)是最常受累的部位。动脉血栓形成的这种优先定位可以通过体力劳动引起的反复微创伤来解释(在指动脉病变的病例中明显增加)。闭塞性病变与胸廓出口综合征之间缺乏相关性。