Barnes R W, Baker W H, Shanik G, Maixner W, Hayes A C, Lin R, Clarke W
Arch Surg. 1977 Nov;112(11):1325-30. doi: 10.1001/archsurg.1977.01370110059006.
The efficacy of concomitant lumbar sympathectomy in improving results of aortoiliac reconstruction was assessed by a prospective, randomized study of 51 patients undergoing operation for occlusive or aneurysmal disease. Sympathectomy was performed on 50 limbs, while 52 extremities served as controls. Sympathectomy resulted in a significant reduction in foot vascular resistance determined by plethysmography. However, the procedure had no effect on leg circulation, assessed by ankle/arm pressure indices determined by Doppler ultrasound. In the sympathectomy group, there were three early postoperative amputations for ischemia, despite patent grafts. In the control group, there was one late graft occlusion, caused by progressive atherosclerotic disease. Although sympathectomy may improve pedal circulation, the procedure does not appear to improve the results of aortoiliac reconstruction.
通过一项前瞻性随机研究，对51例因闭塞性或动脉瘤性疾病接受手术的患者进行评估，以确定同期腰交感神经切除术在改善主髂动脉重建效果方面的疗效。对50条肢体实施了交感神经切除术，52条肢体作为对照。通过体积描记法测定，交感神经切除术使足部血管阻力显著降低。然而，通过多普勒超声测定的踝/臂压力指数评估，该手术对腿部血液循环没有影响。在交感神经切除术组，尽管移植血管通畅，但有3例因缺血在术后早期进行了截肢。在对照组，有1例移植血管因进行性动脉粥样硬化疾病发生晚期闭塞。尽管交感神经切除术可能改善足部血液循环，但该手术似乎并不能改善主髂动脉重建的效果。
