[淋巴水肿显微外科治疗的临床进展]
[Clinical progress of microsurgical management for lymphedema].
作者信息
Liu Shiqiang, Ma Xianjie
机构信息
Department of Plastic and Reconstructive Surgery, Xijing Hospital, Air Force Military Medical University, Xi'an Shaanxi, 710032, P.R.China.
Department of Plastic and Reconstructive Surgery, Xijing Hospital, Air Force Military Medical University, Xi'an Shaanxi, 710032,
出版信息
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Sep 15;32(9):1223-1226. doi: 10.7507/1002-1892.201803018.
OBJECTIVE
To review the clinical progress of microsurgical management for lymphedema.
METHODS
The literature on microsurgical treatment for lymphedema at home and abroad in recent years was reviewed and analyzed.
RESULTS
At present, conservative treatment is the main treatment for lymphedema, which has limited effectiveness only for early stages of lymphedema; and it is not curative and demands patient compliance. In contrast, microsurgical approaches can solve the problems in the prevention or management of lymphedema and showed promising results, such as lymphatic-venous anastomosis (LVA), vascularized lymph node transfer (VLNT), and other lymphatic reconstructions.
CONCLUSION
Microsurgical approaches like LVA and VLNT have been broadly used in recent years, the effectiveness and safety have been proved. But the evidence of long-term randomized controlled studies is still required to establish standard treatment practices.
目的
回顾显微外科治疗淋巴水肿的临床进展。
方法
对近年来国内外有关淋巴水肿显微外科治疗的文献进行回顾与分析。
结果
目前，保守治疗是淋巴水肿的主要治疗方法，仅对淋巴水肿早期有效，且非根治性治疗，需要患者配合。相比之下，显微外科手术方法可以解决淋巴水肿预防或治疗中的问题，并显示出良好的效果，如淋巴管静脉吻合术（LVA）、带血管蒂淋巴结转移术（VLNT）和其他淋巴重建手术。
结论
近年来，LVA和VLNT等显微外科手术方法已被广泛应用，其有效性和安全性已得到证实。但仍需要长期随机对照研究的证据来确立标准治疗方案。
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