Stadelmann Wayne K, Tobin Gordon R
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Louisville, Kentucky 40292, USA.
Plast Reconstr Surg. 2002 Apr 1;109(4):1274-80. doi: 10.1097/00006534-200204010-00010.
Postoperative groin lymphoceles that fail to resolve spontaneously or with interventional therapy present a formidable problem that is associated with a high degree of morbidity. Numerous interventional methods and operative techniques have been described to treat these fluid collections, yet recurrence rates remain high. The use of lymphatic mapping has gained widespread use in the treatment of cutaneous malignancies and breast cancer and has been proven effective in delineating the course of lymphatic channels. We present here a series of 17 consecutive patients with 19 problematic groin lymphoceles who were treated with the assistance of intraoperative lymphatic mapping using isosulfan blue dye. To date there have been no recurrences and minimal morbidity associated with the technique and prescribed postoperative treatment regimen.
术后腹股沟淋巴囊肿若无法自行消退或经介入治疗后仍未解决，会带来一个棘手的问题，且与高发病率相关。已有众多介入方法和手术技术被描述用于治疗这些液体积聚，但复发率仍然很高。淋巴造影在皮肤恶性肿瘤和乳腺癌的治疗中已得到广泛应用，且已被证明在描绘淋巴管走行方面有效。我们在此呈现一系列连续的17例患者，他们共有19个有问题的腹股沟淋巴囊肿，这些患者在术中使用异硫蓝染料进行淋巴造影的辅助下接受了治疗。迄今为止，该技术及规定的术后治疗方案未出现复发情况，且发病率极低。
