Milleret R, Lavaud S, Gravier R
J Chir (Paris). 1980 May;117(5):317-20.
The authors compare the results obtained by the use of two different lumbar sympathectomy techniques in patients with chronic obliterative arterial disease of the lower limbs. Surgical resection was employed in 35 cases, and infiltration with phenol under radiological control in 60 cases. The proportion of successful results was about the same in both groups, best results being obtained in younger patients with less advanced disease. No mortality occurred in the group treated by phenol infiltration. Transient neuralgia was reported in some cases, but hospital stay was reduced by an average of 10 days, and many cases could be treated as out-patients. More than half of the patients did not require operation or amputation after phenol infiltration, which is, therefore, a very valuable associated therapeutic measure, especially in the elderly.
作者比较了在下肢慢性闭塞性动脉疾病患者中使用两种不同的腰交感神经切除术技术所获得的结果。35例采用手术切除，60例在放射学控制下用苯酚浸润。两组的成功结果比例大致相同，在病情较轻的年轻患者中获得了最佳结果。苯酚浸润治疗组未发生死亡。一些病例报告有短暂性神经痛，但住院时间平均缩短了10天，许多病例可作为门诊患者治疗。超过一半的患者在苯酚浸润后不需要手术或截肢，因此，这是一种非常有价值的辅助治疗措施，尤其是对老年人而言。
