Chahidi H
Phlebologie. 1977 Jan-Mar;30(1):103-11.
In a group of 156 patients with arteriopathy, 87 (aged between 10 and 40 years) exhibited thromboangiitis obliterans and 9 (aged 40 to 50 years) arteritis of middle age, according to Van der Stricht's classification. The lesions of thromboangiitis obliterans have their onset in the distal arteries of the extremities and are frequently associated with hyperhidrosis and hypersympathicotonia. Marked clinical improvement may be obtained after treatment by lumbar sympathectomy combined with adrenalectomy and cessation of smoking. Tobacco appears to be a more important etiological factor than race : none of the patients in this group was a Jew. "Middle-age arteritis" involves primarily the femoral arteries and affects smokers in the first place. The same type of treatment has given less convincing results in these cases, owing possibly to a lack of sufficient experience with such techniques as endarteriectomy and grafting.
在一组156例动脉病患者中，根据范德斯特里希特的分类，87例（年龄在10至40岁之间）表现为血栓闭塞性脉管炎，9例（年龄在40至50岁之间）为中年动脉炎。血栓闭塞性脉管炎的病变始于四肢远端动脉，常伴有多汗症和交感神经过度兴奋。经腰交感神经切除术联合肾上腺切除术并戒烟治疗后，可取得明显的临床改善。烟草似乎是比种族更重要的病因：该组患者中没有犹太人。“中年动脉炎”主要累及股动脉，首先影响吸烟者。在这些病例中，同样的治疗方法效果不太令人信服，可能是由于在内膜切除术和移植术等技术方面缺乏足够的经验。
