Pistolese G R, Speziale F, Taurino M, Spartera C, Faraglia V
J Cardiovasc Surg (Torino). 1982 Sep-Oct;23(5):411-4.
Lumbar sympathectomy still has an important role in the surgical treatment of occlusive peripheral arterial diseases of the lower limbs located below the inguinal ligament, when the presence of peripheral lesions makes revascularization difficult. A consecutive series of 143 patients who underwent lumbar sympathectomy was considered, and the clinical, angiographic and haemodynamic findings evaluated. Haemodynamic studies on these patients showed a relation between the clinical improvement and the pressure index, measured at the ankle before lumbar sympathectomy. The patients with pressure index values above 0.5 had a symptomatic improvement whereas the patients with a pressure index below 0.3 gave less good results. It is therefore believed that lumbar sympathectomy showed not be considered a second operative choice but an elective operation, especially in patients affected by lesion of the superficial femoral artery, the popliteal artery and its branches, with pressure indices above 0.5 where revascularization is not possible.
当存在周围病变导致血管重建困难时，腰交感神经切除术在腹股沟韧带以下下肢闭塞性周围动脉疾病的外科治疗中仍具有重要作用。我们对连续143例行腰交感神经切除术的患者进行了研究，并对其临床、血管造影和血流动力学结果进行了评估。对这些患者的血流动力学研究表明，临床改善与腰交感神经切除术前行踝部压力指数测量之间存在关联。压力指数值高于0.5的患者症状有所改善，而压力指数低于0.3的患者效果较差。因此，人们认为腰交感神经切除术不应被视为二线手术选择，而应是一种选择性手术，尤其是对于那些股浅动脉、腘动脉及其分支病变且压力指数高于0.5而无法进行血管重建的患者。
