Chen Kuo, Sinelnikov Mikhail Y, Shchedrina Marina A, Mu Lan, Lu Pengwei
From the The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Institute for Regenerative Medicine, Sechenov University, Moscow, Russia.
Ann Plast Surg. 2021 Mar 1;86(3S Suppl 2):S173-S176. doi: 10.1097/SAP.0000000000002642.
Upper limb lymphedema is one of the most common complications after breast cancer surgery and radiotherapy. At present, physical methods and surgical methods can be used for treatment. Surgical operations are mainly based on lymphovenous anastomosis and vascularized lymph node transfer. For these 2 surgical methods, we analyzed and compared the literature review and our own clinical experience. We summarized the differences between the 2 surgical techniques and the selection methods. We hope to help more young plastic surgeons and breast doctors understand how to treat upper limb lymphedema through surgical methods and help patients improve their quality of life.
上肢淋巴水肿是乳腺癌手术和放疗后最常见的并发症之一。目前，可采用物理方法和手术方法进行治疗。外科手术主要基于淋巴管静脉吻合术和带血管蒂淋巴结转移术。对于这两种手术方法，我们结合文献综述和自身临床经验进行了分析和比较。我们总结了这两种手术技术之间的差异及选择方法。我们希望帮助更多年轻的整形医生和乳腺科医生了解如何通过手术方法治疗上肢淋巴水肿，并帮助患者提高生活质量。
