Krylov V S, Milanov N O, Abalmassov K G
Service de Microchirurgie du Centre National de Recherche de Chirurgie près de l'Académie des Sciences Médicales, Ministère de la Santé de l'URSS, Moscou.
J Mal Vasc. 1988;13(4):335-7.
More than 500 cases of lymphatic edema of the limbs due to various etiologies have been seen since 1979. 478 surgical procedures have been carried out in 407 of them, including 267 lymphovenous anastomoses. Early and long-term positive results were obtained in 85% and 70% of cases respectively. The maximum follow-up period is 8 years. These results confirm the efficacy of such anastomoses. Best results were obtained in secondary lymphedema. Peroperative measurement of lymphatic pressure is important in determination of the subsequent prognosis of anastomoses. Results are also proportional to the number of lymph vessels shunted into veins.
自1979年以来，已诊治500多例因各种病因引起的肢体淋巴水肿。其中407例患者接受了478次手术，包括267次淋巴静脉吻合术。分别有85%和70%的病例获得了早期和长期的阳性结果。最长随访期为8年。这些结果证实了此类吻合术的疗效。继发性淋巴水肿的治疗效果最佳。术中测量淋巴压力对于判断吻合术的后续预后很重要。治疗结果也与分流至静脉的淋巴管数量成正比。
