Courbier R, Jausseran J M, Reggi M, Buril T, Forlot P, Ifrgane A
Acta Chir Belg. 1977 Jan;76(1):61-6.
A series of 100 unselected patients operated on for lumbar sympathectomy were studied by digit plethysmography, thest of hyperemia, rheography, measurement of segmental pressure and dynamic tests, treadmill and Strandness test. Statistical analysis of data showed that isolated lesions of atheroma yield the best result. Increase in walking perimeter and in blood flow (rheographic quotient) were the only parameters showing statistical change. Forecasting of the effect of lumbar sympathectomy by the hyperemia test of Hillestad was confirmed. Other forms of disease : diffuse lesions, lesions of arteries in the legs or due to diabetes were followed by very numerous failures. Lumbar sympathectomy is justified as an isolate procedure for femoral lesions, and associated to reconstructive aorto-iliac surgery whenever the distal runoff consists only of a deep femoral artery.
通过手指体积描记法、充血试验、血流描记法、节段压力测量以及动态试验（跑步机试验和斯特兰德尼斯试验），对100例接受腰交感神经切除术的未经挑选的患者进行了研究。数据的统计分析表明，单纯动脉粥样硬化病变的效果最佳。步行周长和血流量增加（血流描记商）是仅显示出统计学变化的参数。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。其他疾病形式：弥漫性病变、腿部动脉病变或糖尿病所致病变，术后失败的情况非常多。对于股部病变，腰交感神经切除术作为一种单独的手术是合理的，并且只要远端血流仅由股深动脉组成，就应与主动脉-髂动脉重建手术联合进行。
