Ernst S, Heindel W, Fischbach R, Gawenda M, Langen H J, Neubauer S, Krahe T
Institut und Poliklinik für Radiologische Diagnostik, Universität zu Köln.
Rofo. 1998 Jan;168(1):77-83. doi: 10.1055/s-2007-1015185.
To review the complications of CT guided lumbar sympathicolysis (CTLS) on the basis of our own experience and the available literature.
241 CTLS were performed by a standard technique according to Haaga's method. Clinical follow-up revealed 4 serious complications; these were analysed and compared with published cases.
Amongst our patients there were three fibrotic ureter stenoses and one retroperitoneal abscess. Analysis of the serious complications described in the literature indicates that introduction of CT guided lumbar sympathicolysis has reduced the severity and frequency of complications as compared with surgical and "blind" procedures. With CTLS, no deaths due to the procedure have been reported in the literature. The results indicate that damage to the ureters can be caused by substances used for the neurolysis.
Provided certain safeguards are obeyed, CTLS is a very save treatment. However damage to the ureter may follow even when the procedure was technically satisfactory. Therefore, sonographic control of the kidneys after three months is recommended.
基于我们自己的经验和现有文献，对CT引导下腰交感神经松解术（CTLS）的并发症进行综述。
根据哈加氏方法采用标准技术进行了241例CTLS。临床随访发现4例严重并发症；对这些并发症进行了分析，并与已发表病例进行了比较。
在我们的患者中，有3例纤维化输尿管狭窄和1例腹膜后脓肿。对文献中描述的严重并发症的分析表明，与手术和“盲目”操作相比，CT引导下腰交感神经松解术的应用降低了并发症的严重程度和发生率。在文献中，未报告因CTLS手术导致的死亡病例。结果表明，用于神经松解的物质可能会导致输尿管损伤。
只要遵守某些安全措施，CTLS是一种非常安全的治疗方法。然而，即使手术在技术上令人满意，也可能会出现输尿管损伤。因此，建议在术后三个月对肾脏进行超声检查。
