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聚多卡醇腔内硬化治疗淋巴管瘤：病例报告及文献复习

Polidocanol echosclerotherapy treatment for lymphocele: case report and review.

作者信息

Belczak Sergio Quilici, Lima Gabriela Balarini Figueiredo, Aguilar Karin Coca, de Araujo Walter Junior Boim, Erzinger Fabiano Luiz, Coelho Felipe

机构信息

Instituto de Aprimoramento e Pesquisa em Angiorradiologia e Cirurgia Endovascular - IAPACE, São Paulo, SP, Brasil.

Centro Universitário São Camilo, São Paulo, SP, Brasil.

出版信息

J Vasc Bras. 2019 Dec 12;19:e20190112. doi: 10.1590/1677-5449.190112.

DOI:10.1590/1677-5449.190112
PMID:31921320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6944319/
Abstract

Formation of lymphocele secondary to transection of lymphatic channels during surgical procedures or traumas is relatively common and is reported in the postoperative period of approximately 30% of lymph node resection procedures. The condition may be asymptomatic or can present with complications such as pain, secondary infection, and compression of blood vessels, which can cause stasis, thrombosis, and edema. There is no consensus on treatment. This article describes three cases in which treatment was provided using polidocanol echosclerotherapy. Its relevance lies in the scarcity of reports in the literature.

摘要

手术过程或外伤中淋巴管横断后继发淋巴囊肿的形成相对常见，据报道在约30%的淋巴结切除手术的术后阶段会出现。这种情况可能无症状，也可能出现疼痛、继发感染和血管受压等并发症，进而导致淤血、血栓形成和水肿。在治疗方面尚无共识。本文描述了3例使用聚多卡醇腔内硬化疗法进行治疗的病例。其意义在于文献报道较少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/23848ab4a616/jvb-19-e20190112-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/3ebc999db0c7/jvb-19-e20190112-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/ffda9a0988ea/jvb-19-e20190112-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/23848ab4a616/jvb-19-e20190112-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/3ebc999db0c7/jvb-19-e20190112-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/ffda9a0988ea/jvb-19-e20190112-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/23848ab4a616/jvb-19-e20190112-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/3ebc999db0c7/jvb-19-e20190112-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/ffda9a0988ea/jvb-19-e20190112-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/23848ab4a616/jvb-19-e20190112-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/3ebc999db0c7/jvb-19-e20190112-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/ffda9a0988ea/jvb-19-e20190112-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5015/6944319/23848ab4a616/jvb-19-e20190112-g03.jpg

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本文引用的文献

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Transverse versus Longitudinal Incisions for Femoral Artery Exposure in Treating Patients with Peripheral Vascular Disease.治疗外周血管疾病患者时，经横向与纵向切口暴露股动脉的比较
Ann Vasc Surg. 2018 Feb;47:143-148. doi: 10.1016/j.avsg.2017.08.019. Epub 2017 Sep 8.
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Therapeutic efficacy of vacuum-assisted-closure therapy in the treatment of lymphatic complications following peripheral vascular interventions and surgeries.
负压封闭引流疗法治疗周围血管介入及手术后淋巴并发症的疗效
Vascular. 2015 Feb;23(1):41-6. doi: 10.1177/1708538114529950. Epub 2014 Mar 27.
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Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil.超声引导下泡沫硬化疗法治疗重度慢性静脉功能不全：巴西单中心两年系列研究
Phlebology. 2015 Mar;30(2):113-8. doi: 10.1177/0268355513517225. Epub 2013 Dec 12.
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Postoperative lymphocysts after lymphadenectomy for gynaecological malignancies: preventive techniques and prospects.妇科恶性肿瘤淋巴结清扫术后淋巴囊肿：预防技术及展望。
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Polidocanol foam sclerotherapy is a new and effective treatment for post-operative lymphorrhea and lymphocele.聚多卡醇泡沫硬化疗法是治疗术后淋巴漏和淋巴囊肿的一种新的有效方法。
J Eur Acad Dermatol Venereol. 2010 Aug;24(8):904-9. doi: 10.1111/j.1468-3083.2009.03546.x. Epub 2010 Jan 11.
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Radiologic imaging and percutaneous treatment of pelvic lymphocele.盆腔淋巴囊肿的放射影像学检查与经皮治疗
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A retrospective audit of long-term lower limb complications following leg vein harvesting for coronary artery bypass grafting.冠状动脉搭桥术取下肢静脉后长期下肢并发症的回顾性审计。
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