带蒂背阔肌肌皮瓣移位术治疗乳腺癌根治术后上肢淋巴水肿
[Transposition of the pedicled latissimus dorsi myocutaneous flap for the treatment of lymphedema of the upper limb after radical mastectomy].
作者信息
Xiao N, Lu K, Shen S
机构信息
Department of Plastic Surgery, Zhujiang Hospital, First Military Medical University, 510282, P R China.
出版信息
Zhonghua Zheng Xing Wai Ke Za Zhi. 2000 Jan;16(1):7-9.
OBJECTIVE
The clinical study was to improve the surgical treatment to upper limb lymphedema.
METHODS
The author treated 12 cases of severe lymphedenia of the upper limb using the pedicled latissimus dorsi myocutaneous flap. The treatment was completed in one stage.
RESULTS
The results were satisfactory in all the cases during the follow-up period of one to three years. No recurrence occurred.
CONCLUSIONS
The method is a good treatment to secondary lymphedema of the upper limb after radical mastectomy as it possesses the advantages of casiness to perform, short operation time, reliable effects, very safety and accordance to physiology.
目的
本临床研究旨在改进上肢淋巴水肿的外科治疗方法。
方法
作者采用带蒂背阔肌肌皮瓣治疗12例上肢重度淋巴水肿，手术一期完成。
结果
在1至3年的随访期内，所有病例效果均满意，无复发。
结论
该方法操作简便、手术时间短、效果可靠、安全性高且符合生理，是根治性乳房切除术后上肢继发性淋巴水肿的良好治疗方法。
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