Zyluk A
Kliniki Chirurgii Ogólnej i Chirurgii Reki Pomorskiej Akademii Medycznej w Szczecinie.
Pol Merkur Lekarski. 1997 May;2(11):347-50.
Algodystrophy (reflex sympathetic dystrophy, Sudeck's atrophy) is a clinical syndrome, developing in most cases as a consequence of trauma and characterized by pain, swelling, tenderness, vascular and sudomotor instability trophic changes of the skin and stiffness. There are several controversial issues concerning algodystrophy in the literature: incidence of the condition (from 0.03% to 95% in various studies), the value of the diagnostic tests in its recognizing and efficacy of the various methods of the treatment. The causes of these discrepancies were discussed: various diagnostic criteria, its unrestricted use by authors and specificity of the natural history of the condition were considered as the main reasons. The features of algodystrophy and its importance in recognizing of the disorder were described in detail; the diagnostic value of the radiographic, static and dynamic scintigraphic examination and diagnostic sympathetic block were also discussed. Several clinical classifications of algodystrophy were presented; the usefulness of these classifications in providing more accurate assessment of the clinical groups and in facilitating of comparison between studies were underlined.
痛性营养不良（反射性交感神经营养不良、施戴克萎缩）是一种临床综合征，多数情况下因创伤而发病，其特征为疼痛、肿胀、压痛、血管和汗腺运动功能不稳定、皮肤营养改变以及僵硬。关于痛性营养不良，文献中有几个存在争议的问题：该病的发病率（不同研究中从0.03%至95%不等）、诊断检查在识别该病方面的价值以及各种治疗方法的疗效。讨论了这些差异的原因：各种诊断标准、作者对其的无限制使用以及该病自然病程的特殊性被视为主要原因。详细描述了痛性营养不良的特征及其在识别该病症中的重要性；还讨论了放射学、静态和动态闪烁扫描检查以及诊断性交感神经阻滞的诊断价值。介绍了痛性营养不良的几种临床分类；强调了这些分类在更准确评估临床组以及便于研究间比较方面的有用性。
