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大隐静脉高位结扎术后继发性淋巴水肿:一例报告。

Secondary lymphedema after high ligation of the great saphenous vein surgery: A case report.

作者信息

Chen Ping, Chen Hui, Yang Mu, Wang Xuan

机构信息

Department of Vascular Surgery, Yuhuangding Hospital, Qingdao University.

Department of Basic Research, Yantai Vocational College, Yantai, China.

出版信息

Medicine (Baltimore). 2018 Dec;97(49):e13379. doi: 10.1097/MD.0000000000013379.

DOI:10.1097/MD.0000000000013379
PMID:30544409
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6310514/
Abstract

A 56-year-old male patient with secondary lymphedema in a single lower extremity presented to our hospital.He received high ligation of great saphenous vein 3 years ago. Severe infection was observed in affected limb on postoperative day 10, and rapidly progressive pain and erythema spreading to inguinal region. He was diagnosed with secondary lymphedema after 3 years of high ligation of great saphenous vein. Compression treatment was given in affected limb to promote the lymphatic return.The patient was followed up for 3 months now, the edema in right leg showed attenuation compared with before.

摘要

一名56岁的男性患者因单侧下肢继发性淋巴水肿前来我院就诊。他3年前接受了大隐静脉高位结扎术。术后第10天,患侧肢体出现严重感染,疼痛迅速进展,红斑蔓延至腹股沟区。在大隐静脉高位结扎3年后,他被诊断为继发性淋巴水肿。对患侧肢体进行了压迫治疗以促进淋巴回流。该患者目前已随访3个月,右腿水肿较之前有所减轻。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb68/6310514/7a53f28ccaf3/medi-97-e13379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb68/6310514/7a53f28ccaf3/medi-97-e13379-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb68/6310514/7a53f28ccaf3/medi-97-e13379-g001.jpg

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本文引用的文献

1
Opportunistic metastatic porocarcinoma after saphenous venectomy for coronary bypass surgery.冠状动脉旁路手术后大隐静脉切除术后偶发性转移性葡状细胞癌。
Clin Exp Dermatol. 2013 Jul;38(5):507-10. doi: 10.1111/ced.12032.
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Anatomy and embryology of the small saphenous vein: nerve relationships and implications for treatment.
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Plast Reconstr Surg. 2011 Jun;127(6):2419-2431. doi: 10.1097/PRS.0b013e318213a218.
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