Dellon A L, Hoopes J E
Plast Reconstr Surg. 1977 Oct;60(4):589-95. doi: 10.1097/00006534-197710000-00015.
The best treatment for primary lymphedema has been a controversial point, because of the lack of clinical documentation of really long-term successful results after any therapy. We report the long-term results in 10 patients (12 extremities) after the Charles procedure. These patients were evaluated at an average period of 10 1/2 years following the surgery (4 of these extremities were examined 20 or more years following the surgery). All of them demonstrated excellent functional results; none demonstrated a recurrence of the lymphedema. We consider the Charles procedure to be the operation of choice in patients with primary lymphedema which is not responsive to conservative therapy.
由于缺乏任何治疗后真正长期成功结果的临床记录，原发性淋巴水肿的最佳治疗方法一直是一个有争议的问题。我们报告了10例患者（12个肢体）接受查尔斯手术的长期结果。这些患者在手术后平均10.5年接受评估（其中4个肢体在手术后20年或更长时间接受检查）。所有患者均显示出极佳的功能结果；无一例出现淋巴水肿复发。我们认为查尔斯手术是对保守治疗无反应的原发性淋巴水肿患者的首选手术。
