Wang Qianwen, Wang Jiaqi, Li Peng
Head and Neck Cosmetic Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.
Vascular Surgery Department, Beijing Hospital, 1# Dahua Road, Dongdan, Dongcheng District, Beijing, China.
Aesthetic Plast Surg. 2017 Dec;41(6):1408-1412. doi: 10.1007/s00266-017-0930-z. Epub 2017 Jun 29.
Lymphocele has not been reported as a complication after liposuction. In this study, we present the case of a patient who developed a cystic lesion after liposuction in her right thigh. The cyst could contract and evolve. The diagnosis of pseudobursa seroma (late seroma) was first considered. However, lymphoscintigraphy showed that lymphatic fluid accumulated in the cyst, and lymphatic vessel connected with it. The final diagnose was a lymphocele. After interventional therapy and conservative treatment failed, the lymphocele was resected. The subcutaneous soft tissue around the cyst was divided into bundles and then ligated with the purpose of blocking lymph leakage from the lymphatic duct.
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吸脂术后淋巴管瘤作为一种并发症尚未见报道。在本研究中，我们报告了一例患者，其右大腿吸脂术后出现了一个囊性病变。该囊肿可收缩并演变。最初考虑诊断为假性滑液囊肿（迟发性血清肿）。然而，淋巴闪烁显像显示淋巴液在囊肿内积聚，且有淋巴管与之相连。最终诊断为淋巴管瘤。在介入治疗和保守治疗失败后，切除了淋巴管瘤。将囊肿周围的皮下软组织分成束状，然后结扎，目的是阻止淋巴液从淋巴管漏出。
证据等级V：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
