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腹壁淋巴水肿患者行淋巴管静脉吻合术后症状的改善

Improvement of Symptoms after Lymphaticovenous Anastomosis in Patients with Abdominal Wall Lymphedema.

作者信息

Ewalds Lotte, Cornelissen Anouk J M, van der Hulst René R W J, Qiu Shan S

机构信息

Department of General Surgery, Maastricht University Medical Center, Maastricht, The Netherlands; and Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

出版信息

Plast Reconstr Surg Glob Open. 2018 Mar 12;6(3):e1710. doi: 10.1097/GOX.0000000000001710. eCollection 2018 Mar.

DOI:10.1097/GOX.0000000000001710
PMID:29707465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5908492/
Abstract

At our institution, we performed a lymphaticovenous anastomosis in patients with primary or secondary abdominal lymphedema. Patients report good outcomes and feel relieved of their complaints. To obtain good results, it is important to have decent knowledge on the anatomical state of the lymphatic system. In general, the lymphatic system of the lower abdomen can be compared with the system of the upper legs. According to our current case results, the abdominal area might be susceptible to lymphaticovenous anastomosis procedure. Further research should be performed to confirm the effect of the intervention and the imaging techniques to monitor the improvements.

摘要

在我们机构,我们对原发性或继发性腹部淋巴水肿患者进行了淋巴管静脉吻合术。患者报告结果良好,其不适症状得到缓解。为获得良好效果,了解淋巴系统的解剖状态非常重要。一般来说,下腹部的淋巴系统可与大腿的淋巴系统相比较。根据我们目前的病例结果,腹部区域可能对淋巴管静脉吻合术敏感。应进行进一步研究以证实该干预措施的效果以及用于监测改善情况的成像技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168f/5908492/a72bca3bd944/gox-6-e1710-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168f/5908492/9f93968549f7/gox-6-e1710-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168f/5908492/a72bca3bd944/gox-6-e1710-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168f/5908492/9f93968549f7/gox-6-e1710-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168f/5908492/a72bca3bd944/gox-6-e1710-g003.jpg

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Improvement of Symptoms after Lymphaticovenous Anastomosis in Patients with Abdominal Wall Lymphedema.腹壁淋巴水肿患者行淋巴管静脉吻合术后症状的改善
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本文引用的文献

1
Anatomy of the superficial lymphatics of the abdominal wall and the upper thigh and its implications in lymphatic microsurgery.腹壁和大腿上部浅淋巴管解剖及其在淋巴显微外科中的意义。
J Plast Reconstr Aesthet Surg. 2013 Oct;66(10):1390-5. doi: 10.1016/j.bjps.2013.05.030. Epub 2013 Jun 6.
2
Antegrade and retrograde lymphatico-venous anastomosis for cancer-related lymphedema with lymphatic valve dysfuction and lymphatic varix.针对伴有淋巴瓣膜功能障碍和淋巴畸形的癌症相关性淋巴水肿,采用顺行和逆行淋巴管-静脉吻合术。
Microsurgery. 2012 Oct;32(7):580-4. doi: 10.1002/micr.22022. Epub 2012 Aug 18.
3
Using indocyanine green fluorescent lymphography and lymphatic-venous anastomosis for cancer-related lymphedema.
使用吲哚菁绿荧光淋巴造影术和淋巴管静脉吻合术治疗癌症相关淋巴水肿。
Ann Vasc Surg. 2012 Feb;26(2):278.e1-6. doi: 10.1016/j.avsg.2011.08.007. Epub 2011 Nov 12.
4
Assessment and follow-up of patency after lymphovenous microsurgery for treatment of secondary lymphedema in external male genital organs.评估和随访在外生殖器继发性淋巴水肿的淋巴静脉显微手术后的通畅情况。
Eur Urol. 2011 Nov;60(5):1114-9. doi: 10.1016/j.eururo.2010.11.020. Epub 2010 Nov 24.