内收肌间隙软组织肉瘤切除术后并发严重淋巴漏的淋巴水肿的淋巴管静脉吻合术：两例报告
Lymphaticovenous Anastomoses for Lymphedema Complicated by Severe Lymphorrhea Following Resection of Soft-Tissue Sarcomas of the Adductor Compartment: A Report of Two Cases.
作者信息
Kobayashi Hiroshi, Iida Takuya, Yamamoto Takumi, Ikegami Masachika, Shinoda Yusuke, Tanaka Sakae, Kawano Hirotaka
机构信息
Departments of Orthopaedic Surgery (H.K., M.I., Y.S., and S.T.) and Plastic and Reconstructive Surgery (T.I. and T.Y.), Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Department of Orthopaedic Surgery, Faculty of Medicine, University of Teikyo, Tokyo, Japan.
出版信息
JBJS Case Connect. 2017 Oct-Dec;7(4):e80. doi: 10.2106/JBJS.CC.17.00078.
CASE
Lymphedema and lymphorrhea are major causes of wound complications after the resection of soft-tissue sarcomas in the adductor compartment of the thigh. We report 2 cases of successful treatment of lymphedema and lymphorrhea, which had been refractory to nonoperative treatment, with use of lymphaticovenous anastomosis (LVA) and intraoperative indocyanine green lymphography after the resection of a sarcoma in the adductor compartment.
CONCLUSION
These 2 cases highlight that LVA can be a useful and minimally invasive alternative to myocutaneous flaps for the treatment of wound complications caused by lymphedema and lymphorrhea after surgery for soft-tissue sarcomas in the adductor compartment of the thigh.
病例
淋巴水肿和淋巴漏是大腿内收肌间隙软组织肉瘤切除术后伤口并发症的主要原因。我们报告了2例成功治疗淋巴水肿和淋巴漏的病例，这2例患者对非手术治疗无效，在大腿内收肌间隙肉瘤切除术后采用了淋巴管静脉吻合术（LVA）和术中吲哚菁绿淋巴造影术。
结论
这2例病例表明，对于大腿内收肌间隙软组织肉瘤手术后由淋巴水肿和淋巴漏引起的伤口并发症，LVA可作为一种有用且微创的替代肌皮瓣的治疗方法。
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