Frileux C, Gillot C, Le Balleur A, Simon B, Foucault D
Phlebologie. 1978 Oct-Dec;31(4):421-4.
Everything points to the prime importance of good health habits and the prevention of risk factors. Long-term medication has only a limited and still questionable impact. Surgery will never be proposed straight off, but only if the claudication is persistent and troublesome in an active individual. Lumbar sympathectomy always provides a degree of improvement and entails a minimal risk. There is no secondary deterioration. Yet in cases of associated phlebites, it can aggravate trophic skin problems. Reconstructive surgery gives far better immediate results but at the price of increased risk and a secondary deterioration that makes difficult repeat operations necessary. It is thus necessary to be very careful in using surgery to deal with intermittent claudications.
一切都表明良好的健康习惯和危险因素的预防至关重要。长期药物治疗的影响有限且仍存在疑问。手术绝不会直接进行，只有在症状持续且给活动的个体带来困扰时才会考虑。腰交感神经切除术总能带来一定程度的改善，且风险极小。不会出现继发性恶化。然而，在伴有静脉炎的情况下，它可能会加重皮肤营养问题。重建手术能带来更好的即时效果，但代价是风险增加和继发性恶化，这使得重复手术变得困难。因此，在使用手术治疗间歇性跛行时必须非常谨慎。
