淋巴水肿的诊断与分期
Diagnosis and Staging of Lymphedema.
作者信息
Greene Arin K, Goss Jeremy A
机构信息
Department of Plastic and Oral Surgery, Lymphedema Program, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
出版信息
Semin Plast Surg. 2018 Feb;32(1):12-16. doi: 10.1055/s-0038-1635117. Epub 2018 Apr 9.
Abstract
Lymphedema often is confused with other causes of extremity edema and enlargement. Understanding the risk factors and physical examination signs of lymphedema can enable the health care practitioner to accurately diagnose patients ∼90% of the time. Confirmatory diagnosis of the disease is made using lymphoscintigraphy. It is important to correctly diagnose patients with lymphedema so that they can be managed appropriately.
摘要
淋巴水肿常与导致肢体水肿和肿大的其他病因相混淆。了解淋巴水肿的危险因素和体格检查体征，可使医护人员在约90%的情况下准确诊断患者。该病的确诊需采用淋巴闪烁显像术。正确诊断淋巴水肿患者很重要，以便对其进行恰当治疗。
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2
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J Am Coll Surg. 2017 Sep;225(3):366-370. doi: 10.1016/j.jamcollsurg.2017.06.005. Epub 2017 Jun 29.
3
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Plast Reconstr Surg. 2016 Sep;138(3 Suppl):209S-218S. doi: 10.1097/PRS.0000000000002683.
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5
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7
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9
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