Pointel J P, Bour C, Isselin J, Braun F M, Merle M, Debry G
J Mal Vasc. 1986;11(1):90-2.
Digital sympathectomy as proposed by Flatt and al. was performed on 12 Raynaud's diseases, 6 distal arteriopathy and 4 post-trauma ischemic syndrome. Operation was performed under tourniquet. The approach depends on the number of digits involved (Brünner at the proximal part of P1, transversal in the distal palmar crease, zigzag incision at the level of each intermetacarpal space). Under microscope, adventisectomy is started on a lateral side of the artery followed by the posterior side on at least 1 cm, using the adventitia avoid all direct manipulation of the vessels. Closing skin on an aspirative drainage and simple non compressive drainage is maintaining 4 days. Index pressure and arterial blood flow are measured. Results are bad for post-trauma ischemic syndrome and arteritis but encouraging in Raynaud's disease (7 patients asked for the same operation on the opposite side).
弗拉特等人提出的数字交感神经切除术应用于12例雷诺病、6例远端动脉病和4例创伤后缺血综合征患者。手术在止血带下进行。手术入路取决于受累手指的数量（在P1近端采用布伦纳切口，在远侧掌横纹处采用横向切口，在每个掌骨间隙水平采用锯齿形切口）。在显微镜下，从动脉外侧开始进行外膜切除术，然后在至少1厘米的后侧进行，利用外膜避免对血管进行所有直接操作。通过吸引引流和简单的非压迫性引流关闭皮肤，持续4天。测量食指压力和动脉血流。对于创伤后缺血综合征和动脉炎，结果不佳，但在雷诺病中结果令人鼓舞（7例患者要求对另一侧进行相同手术）。
