Rannikko Eeva H, Suominen Sinikka H, Saarikko Anne M, Viitanen Tiina P, Mäki Maija T, Seppänen Marko P, Suominen Erkki A, Hartiala Pauliina
Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Department of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Plast Reconstr Surg Glob Open. 2021 Jan 22;9(1):e3354. doi: 10.1097/GOX.0000000000003354. eCollection 2021 Jan.
Our objective was to analyze whether a correlation could be observed between preoperative factors and microvascular lymph node transfer outcome after long-term follow-up.
We included 67 patients in this retrospective case series. The incidence of cellulitis, the difference of arm circumference, the use of the compression garments both preoperatively and postoperatively, and subjective symptoms, such as pain, were analyzed. Volumetry and lymphoscintigraphy results were also analyzed in a subgroup of patients. We correlated preoperative factors with postoperative results.
After 70 ± 17 months of follow-up, 42% of the patients were able to discontinue the use of compression garments. The subjective pain symptoms were reduced in 75% of the patients. The incidence of cellulitis was reduced from preoperative 0.20 ± 0.55/y to postoperative 0.02 ± 0.08/y. As a novel finding, the patients with preoperative cellulitis were more likely to continue the use of the compression garments.
The surgery is beneficial to most studied lymphedema patients, although it is not the cure for all patients. The incidence of cellulitis was reduced, and further, the presence of preoperative cellulitis seems to affect the outcome of the operation.
我们的目的是分析在长期随访后，术前因素与微血管淋巴结转移结果之间是否存在相关性。
我们将67例患者纳入这个回顾性病例系列。分析了蜂窝织炎的发生率、手臂周长的差异、术前和术后压力衣的使用情况以及疼痛等主观症状。还对部分患者亚组进行了体积测量和淋巴闪烁造影结果分析。我们将术前因素与术后结果进行了关联分析。
经过70±17个月的随访，42%的患者能够停止使用压力衣。75%的患者主观疼痛症状减轻。蜂窝织炎的发生率从术前的0.20±0.55/年降至术后的0.02±0.08/年。一项新发现是，术前患有蜂窝织炎的患者更有可能继续使用压力衣。
尽管手术并非对所有患者都能治愈，但对大多数接受研究的淋巴水肿患者有益。蜂窝织炎的发生率降低了，此外，术前蜂窝织炎的存在似乎会影响手术结果。
