Campisi C, Boccardo F
Department of Specialist Surgical Sciences, Anesthesiology and Organ Transplants, Lymphology and Microsurgery Center, St. Martino's Hospital, University of Genoa, Largo Rosanna Venzi 8, 16132 Genoa, Italy.
Microsurgery. 2002;22(2):74-80. doi: 10.1002/micr.21728.
Lymphedema is often diagnosed by its characteristic clinical presentation. In some cases, however, instrumental investigations are necessary to establish the diagnosis, particularly in early stages of the disease. One of the primary problems for microsurgery in treating lymphedema consists of the discrepancy between the excellent technical possibilities and the insufficient results in reduction of lymphedematous tissue fibrosis and sclerosis. Long-term results indicate that microsurgical operations have a valuable place in the treatment of obstructive lymphedema (primary or secondary) and should be the treatment of choice in these patients. Improved results can be expected with earlier microsurgical operations because patients referred earlier usually have less lymphatic disruption and fibrotic tissue. Advanced diagnostic methods and improvements in operation techniques have modified indications for surgical therapy of lymphedema. This article systematically reviews the published literature on the microsurgical treatment of lymphedema to the present.
淋巴水肿通常通过其典型的临床表现进行诊断。然而，在某些情况下，需要借助仪器检查来确诊，尤其是在疾病的早期阶段。显微外科治疗淋巴水肿的主要问题之一在于，尽管技术上有出色的可能性，但在减少淋巴水肿组织的纤维化和硬化方面，效果却不尽人意。长期结果表明，显微外科手术在阻塞性淋巴水肿（原发性或继发性）的治疗中具有重要地位，应作为这些患者的首选治疗方法。早期进行显微外科手术有望取得更好的效果，因为较早就诊的患者通常淋巴管破坏和纤维化组织较少。先进的诊断方法和手术技术的改进改变了淋巴水肿手术治疗的适应症。本文系统回顾了迄今为止已发表的关于淋巴水肿显微外科治疗的文献。
