Goldstein M, Dereume J P, Vincent G
Phlebologie. 1978 Oct-Dec;31(4):411-20.
The authors have re-examined their therapeutic attitude toward the intermittent claudication upon arteriopathy. They feel that it is useful to divide patients having an arteriopathy (Stage II) into two groups: the first having isolated (or dominant) high aorto-iliac lesions and the second with isolated or dominant lesions at the mid-femoral level. In the first group, we remained faithful to reconstructive surgery and our preference goes to thrombo-endarteriectomy with accompanying low lumbar sympathectomy. In femoral lesions, we do not recommend reconstructive surgery of the arteries but rather low lumbar sympathectomy. For the past year, we have undertaken a program of physical re-education and the results seem very encouraging, especially in patients having isolated femoral lesions. It is not impossible that this physical therapy may be used instead of lumbar sympathectomy, to which one can always resort in case of insufficient results.
作者们重新审视了他们对动脉病变所致间歇性跛行的治疗态度。他们认为将患有动脉病变（II期）的患者分为两组是有益的：第一组是孤立（或主要）的腹主动脉-髂动脉高位病变，第二组是股动脉中段孤立或主要病变。在第一组中，我们坚持采用重建手术，并且更倾向于血栓内膜切除术并辅以低位腰交感神经切除术。对于股动脉病变，我们不建议进行动脉重建手术，而是建议进行低位腰交感神经切除术。在过去的一年里，我们开展了一项身体康复训练计划，结果似乎非常令人鼓舞，尤其是在患有孤立性股动脉病变的患者中。这种物理治疗有可能替代腰交感神经切除术，而在效果不佳时总是可以采用腰交感神经切除术。
