Courbier R, Jausseran J M, Reggi M, Buril T, Forlot P, Ifrgane A
Nouv Presse Med. 1976 Mar 6;5(10):633-6.
A series of 100 unselected patients who had undergone low lumbar sympathectomy were studied using vascular function tests (digital plethysmography, hyperaemia test, rheography, measurement of segmental pressures and dynamic tests, walking tolerance on a conveyor belt, Strandness test). Statistical study of the results obtained showed that, above all, isolated lesions of atherosclerotic origin gave excellent results. Increase in walking tolerance and circulatory flow (rheographic quotient) were the only statistically valid parameters. Prediction of the effects of lumbar sympathectomy by Hillestad's hyperaemia test was confirmed. There were many failures amongst the other cases (diffuse lesions, leg artery involvement, diabetic type lesions). Lumbar sympathectomy is hence justified only in the presence of femoral lesions and in association with reconstructive aorto-iliac surgery in all cases when the distal bed consists of the deep femoral only.
对100例未经挑选且接受过低位腰交感神经切除术的患者，采用血管功能测试（数字体积描记法、充血试验、血流描记法、节段压力测量及动态测试、在传送带上的行走耐力、斯特兰德尼斯试验）进行了研究。对所得结果的统计学研究表明，最重要的是，单纯动脉粥样硬化性病变的疗效极佳。行走耐力和循环血流量增加（血流描记商）是仅有的具有统计学意义的有效参数。希勒斯塔德充血试验对腰交感神经切除术效果的预测得到了证实。在其他病例（弥漫性病变、腿部动脉受累、糖尿病性病变）中，有许多手术失败的情况。因此，仅在存在股动脉病变且在所有远端床仅由股深动脉组成的情况下，与主动脉 - 髂动脉重建手术联合进行时，腰交感神经切除术才是合理的。
