[1]董国祥　 赵军　 栾景源　 贾易木.化学性胸交感神经节切除术治疗雷诺病[J].中国微创外科杂志,2001,01(3):181-182.
　Dong Guoxiang,Zhao June,Luan Jingyuan·.Chemical thoracic sympathectomy for Raynaud disease[J].Chinese Journal of Minimally Invasive Surgery,2001,01(3):181-182.
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化学性胸交感神经节切除术治疗雷诺病()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2001年3期
页码:
181-182
栏目:
新技术新方法
出版日期:
2001-03-31

文章信息/Info

Title:
Chemical thoracic sympathectomy for Raynaud disease
作者:
董国祥　 赵军　 栾景源　 贾易木　
北京大学第三医院血管外科北京 100083
Author(s):
Dong Guoxiang;  Zhao June;  Luan Jingyuan·
Depart- ment ofVascular Surgery, Peking UnivesityThirdHopsital, Beijing100083, China
关键词:
化学性胸交感神经节切除术 雷诺病
Keywords:
Chemical thoracic sympathectomy　　Raynaud disease
分类号:
R65
文献标志码:
B
摘要:
目的探讨化学性胸交感神经节切除术治疗雷诺病.方法用腰麻穿刺针在第1或2胸椎棘突旁开5cm处穿刺,以25度角向椎体正中前进,直至针尖抵住椎体.回抽如无血液、脑脊液或空气抽出.病人保持不动,透视并拍X片,确定针尖位于椎体前外侧后,注射1ml造影剂,证实造影剂不向胸腔内泄漏,即注入5%石碳酸2ml后,拔出穿刺针.结果2例患者双手均于术后5min转红转暖,冰水试验转阴.结论化学性胸交感神经节切除术操作简单,损伤极小,费用低,是治疗雷诺病的有效方法.
Abstract:
Objective　To investigate the therapeatic effects of chemical thoracic sympathectomy (CTS) for Raynaud disease.　Methods　A niddle was injected into the first or second thoraic vertebra from back. A X-ray examination was performed to definite the position of the niddle tip. One millilitre of urographinewas injected to deter- mine if itwas infused intothoracic cavity. If not, 2 ml of 5% phenolwas injected and the niddlewas removed.　Re- sults　Within 10 minutes both pairs of the hands of the two patients with Raynaud’s disease turned into flushing and warm from pallor and cool after CTS. Ice-water test changed to negative.　Conclusions　CTS is of simple, mi- croinvasive and low cost procedure for Raynaud’s disease.

参考文献/References:

［1］董国祥,赵军.化学性腰交感神经切除术治疗下肢缺血性疾病.北京医科大学学报1998,30:59.
［2］Drott C. The history of cervicothoracic sympathectomy. Eur J Surg Suppl. 1994(572) :5 - 7.
［3］Bardaxoglou E, Reigner B, Enon B, et al. Transthoracic endoscopy for upper thoracic chemical sympathectomy. Ann Vasc Surg 1992, 6(4) :390-2.
［4］Adler OB, Engel A, Rosenberger A, et al. palmar hyperhidrosis CT guided chemical percutaneous thoracic sympathectomy. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr, 1990, 153(4) :400 - 3.
［5］栾景源,董国祥.化学性腰交感神经灭活后苯酚在家兔体内的代谢变化.北京医科大学报,1998,30:383.

更新日期/Last Update: 2014-08-22