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題 名 | Peripheral Sympathectomy for Raynaud's Phenomenon: A Salvage Procedure=末梢交感神經切除術治療雷諾氏現象:一種拯救手術 |
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作 者 | 王文禾; 賴春生; 張高評; 李書欣; 楊錦江; 林幸道; 劉家銘; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 22:10 民95.10 |
頁 次 | 頁491-499 |
分類號 | 416.29 |
關鍵詞 | 末梢交感神經切除術; 雷諾氏現象; Peripheral sympathectomy; Raynaud's phenomenon; |
語 文 | 英文(English) |
中文摘要 | 我們回顧性地評論末梢交感神經切除術治療嚴重雷諾氏現象的效果。本研究包含六位罹患慢性手指缺血性變化的十四隻手指。所有病例的患肢都有疼痛、潰瘍、或壞疽變化,而且都對藥物治療或非手術性治療無效。所有病例的血管攝影顯示指動脈多灶性損害,因此微細血管的重建是不可行的。末梢交感神經切除術扮演一種預防手指截肢的拯救手術。我們根據疼痛的減輕、潰瘍的癒合、及截肢的預防來分析研究的結果。在十四隻手指中的十二隻,其潰瘍癒合而免除被截肢的命運。其它兩隻手指的潰瘍獲得改善,且進行性的壞疽變化也被限制住了。 |
英文摘要 | We retrospectively reviewed the effectiveness of peripheral sympathectomy for severe Raynaud’s phenomenon. In this study, a total of 14 digits from six patients with chronic digital ischemic change were included. All patients had pain, ulcer, or gangrenous change in the affected digits and were unresponsive to pharmacologic or other nonsurgical therapies. In all cases, angiography showed multifocal arterial lesions, so microvascular reconstruction was unfeasible. Peripheral sympathectomy was performed as a salvage procedure to prevent digit amputation. The results were analyzed according to reduction of pain, healing of ulcers, and prevention of amputation. In 12 of the 14 digits, the ulcers healed and amputation was avoided. In the other two digits, the ulcers improved and progressive gangrene was limited. As a salvage procedure for Raynaud’s phenomenon recalcitrant to conservative treatment, peripheral sympathectomy improves perfusion to ischemic digits and enables amputation to be avoided. |
本系統中英文摘要資訊取自各篇刊載內容。