Le Héron D, Le Héron G, Serise J M, Tingaud R
J Mal Vasc. 1985;10 Suppl A:72-6.
Seventy-five patients had a lumbar sympathectomy for chronic arteritis of the lower limbs. This study was done to assess the predictive value of Hillestad's test (potential of vasodilatation) and that of the deep breath test (sympathic stimulation), realised by digital strain gauge plethysmography. Were considered a success the patients with claudication who doubled their walking distance and those with rest pain or gangrene who suffered no more or healed. Globally speaking, 49% were a success. A positive response to Hillestad's test was followed by an 83% overall success rate. For claudicants with femoropopliteal lesions the predictive success rate was 95% with a positive Hillestad's test, against 60% globally; for patients with rest pain or gangrene or with distal lesions the success probability was around 60% if Hillestad's test was positive. A negative response to Hillestad's test was always followed by a failure in diabetics. A better predictability ought to be obtained with the adjunction of a deep breath test.
75例患者因下肢慢性动脉炎接受了腰交感神经切除术。本研究旨在评估通过数字应变计体积描记法实现的希勒斯泰德试验（血管扩张潜力）和深呼吸试验（交感神经刺激）的预测价值。将跛行患者步行距离翻倍以及静息痛或坏疽患者不再疼痛或伤口愈合的情况视为手术成功。总体而言，49%的患者手术成功。希勒斯泰德试验呈阳性反应后，总体成功率为83%。对于股腘动脉病变的跛行患者，希勒斯泰德试验呈阳性时预测成功率为95%，而总体为60%；对于有静息痛或坏疽或远端病变的患者，如果希勒斯泰德试验呈阳性，成功概率约为60%。希勒斯泰德试验呈阴性反应后，糖尿病患者手术总是失败。结合深呼吸试验应该能获得更好的预测性。
