[1]赵军.CT引导定位下化学性胸交感神经节切除术治疗雷诺现象[J].中国微创外科杂志,2008,08(12):1096-1097.
　Zhao Jun..CTguided Chemical Thoracic Sympathectomy for Raynaud′s phenomenon[J].Chinese Journal of Minimally Invasive Surgery,2008,08(12):1096-1097.
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CT引导定位下化学性胸交感神经节切除术治疗雷诺现象()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年12期
页码:
1096-1097
栏目:
出版日期:
2008-11-06

文章信息/Info

Title:
CTguided Chemical Thoracic Sympathectomy for Raynaud′s phenomenon
作者:
赵军
北京大学第三医院介入血管外科，北京100191
Author(s):
Zhao Jun.
Department of Interventional Vascular Surgery, Peking University Third Hospital, Beijing 100191, China
关键词:
化学性胸交感神经节切除术; 雷诺现象
Keywords:
Chemical thoracic sympathectomy; Raynaud′s phenomenon
分类号:
R747.3；R655
文献标志码:
A
摘要:
目的探讨CT定位下化学性胸交感神经节切除术(chemical thoracic sympathectomy, CTS)治疗上肢雷诺现象的有效性和安全性。方法对10例雷诺现象，包括4例X线定位下CTS术后复发患者，在CT定位下经皮穿刺于T2或T3交感神经节处注射5％酚，每个点注射3 ml。结果治疗后效果优10条，良3条，改善4条，无效3条，治疗有效率为85.0％（17/20）。原发性雷诺现象有效率为92.9％（13/14），继发性雷诺现象的有效率为66.7％（4/6），复发后治疗有效率为75.0％（6/8）。未发生气胸。 结论CT定位下CTS创伤小，有效率高，复发后再次治疗多数仍然有效，是目前治疗上肢雷诺现象较理想的方法。
Abstract:
ObjectiveTo explore the effectiveness and safety of CTguided chemical thoracic sympathectomy (CTS) for Raynaud′s phenomenon in the upper limbs.MethodsTen patients with Raynaud′s phenomenon in 20 limbs were enrolled in this study. Among the patients, 4 were recurrent cases, who had undergone Xrayguided CTS. Under CT guidance, a needle was punctured through the back skin to the second or third thoracic sympathetic ganglion beside the thoracic vertebrae, and then 3 ml of 5% phenol was injected into each located point.ResultsAfter the treatment, 10 limbs achieved excellent outcomes, 3 were good, 4 were improved, and 3 were noneffective. The totally effective rate was 850% (17/20). The effective rate was 92.9% (13/14) in the limbs with primary Raynaud′s phenomenon, 667% (4/6) in those with secondary Raynaud′s phenomenon, and 750% (6/8) for the recurrent cases. No patient developed pneumothorax. ConclusionsCTguided CTS is a minimally invasive surgery for Raynaud′s phenomenon in upper limbs with a high effective rate. The procedures can be used to treat recurrent cases.

参考文献/References:

1]赵军,董国祥,栾景源.化学性胸交感神经节切除术治疗雷诺综合征. 中华医学杂志,2003,83(22):1943-1945.
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[3]Adler OB, Engel A, Rosenberger A, et al. Palmar hyperhidrosis CT guided chemical percutaneous thoracic sympathectomy. Rofo，1990,153:400-403.
[4]HormaBabana H, Lucas A, Marin F, et al. Evaluation of the efficacy of CT guided thoracic sympatholysis to treat palmar hyperhidrosis. J Radiol. 2004,85:21-24.
[5]Lee KS, Chuang CL, Lin CL, et al. Percutaneous CTguided chemical thoracic sympathectomy for patients with palmar hyperhidrosis after transthoracic endoscopic sympathectomy. Surg Neurology，2004,62:501-505.
[6]赵军,董国祥,栾景源,等. 化学性胸交感神经节切除术治疗雷诺现象73例.中国微创外科杂志,2006,6(11):830-832.

更新日期/Last Update: 2013-10-23