Claes G, Drott C, Göthberg G
Department of Surgery, Borås Hospital, Sweden.
Eur J Surg Suppl. 1994(572):63-4.
Arterial insufficiency of the hands due to vascular spasm-morbus Raynaud is an extremely unpleasant condition. Elicited by cold temperatures, the disease can make it impossible for the patient to go out in cold environments. The condition seldom leads to skin necrosis, which is the case in arterial insufficiency caused by vascular occlusion. In both cases arterial insufficiency may be diminished by thoracic sympathectomy. Our test series of operations included 14 patients with m. Raynaud or vascular occlusion. All experienced improvement, with warm, dry hands and satisfactory healing after thoracoscopic sympathicotomy. However, after six months, the original symptoms recurred in all the patients with m. Raynaud, while the improvement continued in the patients with vascular occlusion during the two to four year period of observation.
由血管痉挛（雷诺氏病）引起的手部动脉供血不足是一种极其难受的病症。这种疾病由寒冷温度引发，会使患者在寒冷环境中无法外出。该病症很少导致皮肤坏死，而血管阻塞引起的动脉供血不足则会出现这种情况。在这两种情况下，胸交感神经切除术都可以减轻动脉供血不足。我们的手术测试系列包括14名患有雷诺氏病或血管阻塞的患者。所有人都有改善，手部温暖、干燥，胸腔镜交感神经切断术后愈合情况良好。然而，六个月后，所有患有雷诺氏病的患者原症状复发，而在两到四年的观察期内，血管阻塞患者的病情持续改善。
