淋巴静脉吻合术可缓解下肢淋巴水肿相关疼痛。
Lymphaticovenous Anastomosis Releases the Lower Extremity Lymphedema-associated Pain.
作者信息
Mihara Makoto, Hara Hisako, Zhou Han Peng, Tange Shuichi, Kikuchi Kazuki
机构信息
Department of Lymphatic and Reconstructive Surgery, Saiseikai Kawaguchi General Hospital, Saitama, Japan; Department of Plastic and Reconstructive Surgery, Tokyo Takanawa Hospital, Tokyo, Japan; Department of Plastic and Reconstructive surgery, Nadogaya Hospital, Chiba, Japan; Department of Clinical Resident, Fujieda Municipal General Hospital, Fujieda, Japan; and Department of Clinical Resident, NTT East Japan Hospital, Tokyo, Japan.
出版信息
Plast Reconstr Surg Glob Open. 2017 Jan 26;5(1):e1205. doi: 10.1097/GOX.0000000000001205. eCollection 2017 Jan.
BACKGROUND
We investigate the effectiveness of lymphaticovenous anastomosis (LVA) in releasing lymphedema-associated pain.
METHODS
We performed a retrospective analysis. Subjects of this study included lower extremity lymphedema patients who presented persistent and constant degrees of pain in their lower limbs. LVA was performed under local anesthesia. The preoperative lower extremity pain and postoperative lower extremity pain were surveyed using the visual analog scale on a score from 0 to 10. The circumferences of the limbs were also recorded.
RESULTS
A total of 8 patients (16 lower limbs) were included. The subjects included 1 man and 7 women, and their average age was 72 years. The average follow-up period was 17 months. The average preoperative and postoperative visual analog scale scores were 5.3 and 1.8, respectively. Moreover, 7 patients who had records of their lower extremity circumference observed an average changing rate of -4.7% in lower extremity lymphedema index after the surgery.
CONCLUSION
LVA can release the pain in the affected limbs of lymphedema.
背景
我们研究了淋巴管静脉吻合术（LVA）缓解淋巴水肿相关疼痛的有效性。
方法
我们进行了一项回顾性分析。本研究的受试者包括下肢淋巴水肿患者，这些患者下肢存在持续且固定程度的疼痛。LVA在局部麻醉下进行。术前和术后下肢疼痛使用视觉模拟量表进行评估，评分范围为0至10分。同时记录肢体周长。
结果
共纳入8例患者（16条下肢）。受试者包括1名男性和7名女性，平均年龄为72岁。平均随访期为17个月。术前和术后视觉模拟量表的平均评分分别为5.3分和1.8分。此外，7例有下肢周长记录的患者术后下肢淋巴水肿指数平均变化率为-4.7%。
结论
LVA可缓解淋巴水肿患肢的疼痛。
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