采用吸脂术治疗妇科癌症相关下肢淋巴水肿。

Treatment of gynaecological cancer related lower limb lymphoedema with liposuction.

机构信息

Department of Plastic Surgery, Ninewells Hospital, James Arrott Drive, Dundee DD1 9SY, United Kingdom.

Consultant Plastic Surgeon, Department of Plastic Surgery, Ninewells Hospital, James Arrott Drive, Dundee DD2 9SY, United Kingdom.

出版信息

Gynecol Oncol. 2018 Dec;151(3):460-465. doi: 10.1016/j.ygyno.2018.09.029. Epub 2018 Oct 5.

DOI:10.1016/j.ygyno.2018.09.029

PMID:30293713

Abstract

OBJECTIVE

To evaluate outcomes in patients with gynaecological cancer related lymphoedema treated with liposuction.

METHODS

A prospective analysis of 21 patients who underwent liposuction followed by compression therapy for chronic unilateral lower limb lymphoedema with up to 8 years follow up was performed.

RESULTS

Duration of lymphoedema prior to liposuction ranged from 4 to 28 years (mean 15.2 years). The mean age at time of liposuction was 52 years (range 37-67). Estimated volume excess in the affected limb ranged from 1.6 to 12 l (mean 4.7 l). The mean percentage reduction was 92.6% at 6 months (range 59.4-159.9) and 88.9% (range 60.9-127.5) at 1 year. Longer term follow-up of 6 patients at 5 years post-liposuction revealed a mean percentage reduction of 113.6% (range 83.5-155.5).

CONCLUSION

Our experience of liposuction combined with compression garments has demonstrated significant and sustainable reduction in limb volume in patients with lower limb lymphoedema secondary to gynaecological malignancy.

摘要

目的

评估妇科癌症相关淋巴水肿患者接受吸脂术治疗的效果。

方法

对 21 例接受吸脂术联合加压治疗慢性单侧下肢淋巴水肿的患者进行前瞻性分析，随访时间长达 8 年。

结果

淋巴水肿发生至接受吸脂术的时间为 4 至 28 年（平均 15.2 年）。吸脂术时的平均年龄为 52 岁（37-67 岁）。受累肢体的估计体积过剩范围为 1.6 至 12 升（平均 4.7 升）。6 个月时的平均减少百分比为 92.6%（范围 59.4-159.9），1 年时为 88.9%（范围 60.9-127.5）。对 6 例患者进行长达 5 年的长期随访，吸脂术后 5 年的平均减少百分比为 113.6%（范围 83.5-155.5）。