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肢体淋巴水肿的手术治疗

Surgical management of lymphedema of the extremity.

作者信息

Miller T A

出版信息

Plast Reconstr Surg. 1975 Dec;56(6):633-41. doi: 10.1097/00006534-197512000-00004.

DOI:10.1097/00006534-197512000-00004
PMID:1197444
Abstract

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.

摘要

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。

相似文献

1
Surgical management of lymphedema of the extremity.肢体淋巴水肿的手术治疗
Plast Reconstr Surg. 1975 Dec;56(6):633-41. doi: 10.1097/00006534-197512000-00004.
2
Staged skin and subcutaneous excision for lymphedema: a favorable report of long-term results.分期皮肤及皮下组织切除术治疗淋巴水肿:长期疗效的良好报告
Plast Reconstr Surg. 1998 Oct;102(5):1486-98; discussion 1499-501. doi: 10.1097/00006534-199810000-00022.
3
Charles procedure for lymphedema: a warning.查尔斯氏淋巴水肿治疗法:一则警示
Am J Surg. 1980 Feb;139(2):290-2. doi: 10.1016/0002-9610(80)90276-7.
4
A surgical approach to lymphedema.一种治疗淋巴水肿的手术方法。
Am J Surg. 1977 Aug;134(2):191-5. doi: 10.1016/0002-9610(77)90341-5.
5
Radical excision and delayed reconstruction of a lymphedematous leg with a 15 year follow-up.根治性切除并延迟重建一条淋巴水肿腿,随访15年。
Lymphology. 1996 Mar;29(1):20-4.
6
The management of lymphedema by staged subcutaneous excision.分期皮下切除术治疗淋巴水肿
Surg Gynecol Obstet. 1973 Apr;136(4):586-92.
7
Buried dermal flap operation for chronic lymphedema of the extremities. Ten-year survey of results in 79 cases.肢体慢性淋巴水肿的真皮埋藏皮瓣手术。79例患者的十年结果调查。
Plast Reconstr Surg. 1970 Jun;45(6):541-8. doi: 10.1097/00006534-197006000-00003.
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The Charles procedure for primary lymphedema. Long-term clinical results.用于原发性淋巴水肿的查尔斯手术。长期临床结果。
Plast Reconstr Surg. 1977 Oct;60(4):589-95. doi: 10.1097/00006534-197710000-00015.
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Surgical approach to lymphedema of the arm after mastectomy.乳房切除术后手臂淋巴水肿的手术治疗方法。
Am J Surg. 1984 Jul;148(1):152-6. doi: 10.1016/0002-9610(84)90303-9.
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[Surgical therapy of lymphedema].
Langenbecks Arch Chir. 1969;325:89-113. doi: 10.1007/BF01255896.

引用本文的文献

1
Long-Term Follow-Up After the Charles Procedure: Possibilities for Minimally Invasive Reconstructive Lymphedema Surgery With Lymphaticovenous Anastomosis: A Report of Four Cases.查尔斯手术之后的长期随访:淋巴管静脉吻合微创重建性淋巴水肿手术的可能性:4例报告
Microsurgery. 2025 Jan;45(1):e70015. doi: 10.1002/micr.70015.
2
A newly designed SIPC device for management of lymphoedema.一种新设计的用于管理淋巴水肿的SIPC设备。
Indian J Surg. 2010 Feb;72(1):32-6. doi: 10.1007/s12262-010-0006-7. Epub 2010 Feb 5.