Seeger J M, Lazarus H M, Albo D
Am J Surg. 1977 Dec;134(6):749-53. doi: 10.1016/0002-9610(77)90316-6.
Yao and Bergan [8] have shown that an ankle systolic index of more than 0.25 is associated with a high rate of success from lumbar sympathectomy. This association has been borne out in our small series. We have also suggested that diseases that obviously compromise collateral circulation might be a relative contraindication to sympathectomy. Although incomplete, literature on collateral flow in relation to sympathectomy tends to confirm this idea. Consideration of such diseases as a contraindication to sympathectomy might further increase the success rate after sympathectomy. Regardless, ankle systolic index alone appears to be a reliable objective, non-invasive method of selecting patients with an increased chance of success from lumbar sympathectomy.
姚和伯根[8]已表明，踝部收缩压指数大于0.25与腰交感神经切除术的高成功率相关。这种关联在我们的小样本研究中得到了证实。我们还提出，明显损害侧支循环的疾病可能是交感神经切除术的相对禁忌证。关于与交感神经切除术相关的侧支血流的文献虽然不完整，但倾向于证实这一观点。将此类疾病视为交感神经切除术的禁忌证可能会进一步提高交感神经切除术后的成功率。无论如何，仅踝部收缩压指数似乎是一种可靠的、客观的、非侵入性的方法，用于选择腰交感神经切除术成功几率增加的患者。
