Miller T A
Plast Reconstr Surg. 1975 Dec;56(6):633-41. doi: 10.1097/00006534-197512000-00004.
Lymphedema of the extremity has been managed in 14 patients by staged excisions of the edematous subcutaneous tissue beneath skin flaps. Six patients have been followed for 4 to 6 years. This method has been successful in dealing with the symptoms of this condition. No episodes of postoperative celluitis have occurred in these patients. Normal function of the extremity has been achieved, and the contour has been preserved. It appears at this time that excision of the subcutaneous tissue is the most important aspect of the surgical management of lymphedema.
14例肢体淋巴水肿患者采用分期切除皮瓣下水肿皮下组织的方法进行治疗。6例患者已随访4至6年。该方法成功地处理了这种疾病的症状。这些患者未发生术后蜂窝织炎。肢体功能恢复正常,外形得以保留。目前看来,皮下组织切除是淋巴水肿外科治疗的最重要方面。