Tashiro Kensuke, Shibata Takashi, Mito Daisuke, Ishiura Ryohei, Kato Motoi, Yamashita Shuji, Narushima Mitsunaga, Iida Takuya, Koshima Isao
From the Department of Plastic and Reconstructive Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Ann Plast Surg. 2016 Aug;77(2):213-6. doi: 10.1097/SAP.0000000000000599.
Indocyanine green lymphography has recently been used to assess lymphatic vessel function in lymphedema patients. Postoperative collateral lymphatic vessels toward ipsilateral axillary lymph nodes are rarely seen above the umbilical level in lower lymphedema patients. Between January 2012 and December 2014, we performed indocyanine green lymphography of 192 limbs in 96 lower extremity lymphedema cases. As a result, dermal back flow appeared in 95 cases, with 38 in the lower abdominal area and 31 in the genital area. We confirmed 3 cases of superficial lymphatic collateral ways extending above the umbilical level to the axillary lymph nodes. All 3 cases had similarity in lower abdominal edema, so excessive lymphatic fluid in the lower abdomen was assumed to be the cause. Lymphatic collateral ways from abdomen to axillary lymph nodes in this study was likely to be designed to prevent the progress of lymphedema.
吲哚菁绿淋巴管造影术最近已被用于评估淋巴水肿患者的淋巴管功能。在下肢淋巴水肿患者中，脐水平以上朝向同侧腋窝淋巴结的术后侧支淋巴管很少见。在2012年1月至2014年12月期间，我们对96例下肢淋巴水肿病例的192条肢体进行了吲哚菁绿淋巴管造影术。结果，95例出现了真皮回流，其中38例在下腹部区域，31例在生殖器区域。我们确认了3例浅表淋巴侧支途径延伸至脐水平以上至腋窝淋巴结。所有3例在下腹部水肿方面具有相似性，因此推测下腹部过多的淋巴液是原因。本研究中从腹部到腋窝淋巴结的淋巴侧支途径可能旨在防止淋巴水肿的进展。
