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膝关节置换术后继发的膝部淋巴皮肤瘘

Knee lymphocutaneous fistula secondary to knee arthroplasty.

作者信息

Pérez-de la Fuente T, Sandoval E, Alonso-Burgos A, García-Pardo L, Cárcamo C, Caballero O

机构信息

Department of Plastic and Reconstructive Surgery, Fundación Jiménez Díaz, Avenida Reyes Católicos 2, 28040 Madrid, Spain.

Department of Orthopedic Surgery, Fundación Jiménez Díaz, Avenida Reyes Católicos 2, 28040 Madrid, Spain.

出版信息

Case Rep Orthop. 2014;2014:806164. doi: 10.1155/2014/806164. Epub 2014 Dec 15.

DOI:10.1155/2014/806164
PMID:25580333
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4279846/
Abstract

Lower limb lymphorrhea secondary to a surgical procedure is a rare but difficult-to-solve complication. In lower limb, this entity is frequently associated with vascular procedures around the inguinal area. We report on a case of a knee lymphocutaneous fistula secondary to a knee revision arthroplasty. To our knowledge, no previous reports regarding this complication have been published.

摘要

手术继发的下肢淋巴漏是一种罕见但难以解决的并发症。在下肢，这种情况常与腹股沟区周围的血管手术相关。我们报告一例膝关节翻修置换术后继发膝关节淋巴皮肤瘘的病例。据我们所知，此前尚无关于该并发症的报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/42120416a8a4/CRIOR2014-806164.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/05951aaf82c1/CRIOR2014-806164.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/2099938899e5/CRIOR2014-806164.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/42120416a8a4/CRIOR2014-806164.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/05951aaf82c1/CRIOR2014-806164.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/2099938899e5/CRIOR2014-806164.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b6e/4279846/42120416a8a4/CRIOR2014-806164.003.jpg

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本文引用的文献

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Lymphatic microsurgery to treat lymphedema: techniques and indications for better results.淋巴管显微外科手术治疗淋巴水肿：获得更好疗效的技术与适应证
Ann Plast Surg. 2013 Aug;71(2):191-5. doi: 10.1097/SAP.0b013e31824f20d4.
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Evolution of chylous fistula management after neck dissection.颈部清扫术后乳糜瘘治疗的进展
Curr Opin Otolaryngol Head Neck Surg. 2013 Apr;21(2):150-6. doi: 10.1097/MOO.0b013e32835e9d97.
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The use of lanreotide in the management of lymphorrhea after an aortic valve replacement.兰瑞肽在主动脉瓣置换术后淋巴漏管理中的应用。
Interact Cardiovasc Thorac Surg. 2012 Oct;15(4):762-3. doi: 10.1093/icvts/ivs243. Epub 2012 Jun 29.
4
Treatment of lymphocutaneous fistulas after vascular procedures of the lower limb: accurate wound reclosure and 3 weeks of consistent and continuing drainage.下肢血管手术后淋巴皮肤瘘的治疗：精确的伤口重新闭合以及持续3周的连贯引流。
Ann Vasc Surg. 2012 Aug;26(6):833-8. doi: 10.1016/j.avsg.2012.02.009. Epub 2012 Jun 21.
5
A review of indocyanine green fluorescent imaging in surgery.手术中吲哚菁绿荧光成像综述
Int J Biomed Imaging. 2012;2012:940585. doi: 10.1155/2012/940585. Epub 2012 Apr 22.
6
Lymphocutaneous fistulas: pre-therapeutic evaluation by magnetic resonance lymphangiography.淋巴管-皮肤瘘：磁共振淋巴造影术的治疗前评估。
Br J Radiol. 2011 Aug;84(1004):714-8. doi: 10.1259/bjr/14411627. Epub 2010 Dec 15.
7
Posttraumatic edema of the lower extremities: evaluation of the lymphatic vessels with magnetic resonance lymphangiography.创伤后下肢水肿：磁共振淋巴血管造影对淋巴管的评估
J Vasc Surg. 2009 Feb;49(2):417-23. doi: 10.1016/j.jvs.2008.08.069.
8
MR lymphangiography for the assessment of the lymphatic system in patients undergoing microsurgical reconstructions of lymphatic vessels.磁共振淋巴造影术用于评估接受淋巴管显微外科重建手术患者的淋巴系统。
Microvasc Res. 2008 May;76(1):42-5. doi: 10.1016/j.mvr.2008.03.003. Epub 2008 Mar 20.
9
Lymphorrhea responds to negative pressure wound therapy.淋巴漏对负压伤口治疗有反应。
J Vasc Surg. 2007 Mar;45(3):610-3. doi: 10.1016/j.jvs.2006.10.043.
10
Lymphatic fistulas: obliteration by low-dose radiotherapy.淋巴瘘：低剂量放射治疗闭塞
Strahlenther Onkol. 2005 Oct;181(10):660-4. doi: 10.1007/s00066-005-1393-8.