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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.

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/5015/6944319/3ebc999db0c7/jvb-19-e20190112-g01-en.jpg

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