Stevenson I M, Wake P N, Santer G J
Ann R Coll Surg Engl. 1979 Mar;61(2):146-8.
Limb salvage in 27 limbs (26 patients) using the combined operations of extended deep femoral angioplasty and lumbar sympathectomy is described. A successful result was obtained in 14 cases (52%) at 6 months falling to 12 (45%) at 16 months. Prediction of outcome and postoperative progress was monitored by the measurement of the leg: arm pressure ratio using the Doppler ultrasound apparatus. No patient with a preoperative ratio of less than 0.3 had a successful result. It is proposed that lumbar sympathectomy is a logical adjunct to surgery in these patients in order to enhance the development of the collateral circulation.
描述了采用股深动脉延长血管成形术和腰交感神经切除术联合手术对27例患者（27条肢体）进行保肢治疗的情况。6个月时14例（52%）取得成功，16个月时降至12例（45%）。使用多普勒超声仪测量腿臂压力比来监测预后和术后进展。术前比值小于0.3的患者无一例取得成功。建议对这些患者行腰交感神经切除术作为手术的合理辅助手段，以促进侧支循环的形成。
