말초교감 신경절제술 증례보고

Abstract

The treatment of chronic vasospastic digital disorders, accompanied with ulcerations that are resistant to medication, is a difficult clinical problem. Peripheral sympathectomy was performed by adventitial stripping of sympathetic fibers from peripheral connections to the radial and ulnar artery at wrist, superficial palmararch, and three common palmar distal arteries. The operation resulted in clinical improvemnet and healing of thumb ulceration in a patient with Raynaud’s phenomenon, which was accompanied secondarily with systemic disease.