Imai Hirofumi, Yoshida Shuhei, Uchiki Toshio, Sasaki Ayano, Nagamatsu Shogo, Koshima Isao
International Center for Lymphedema, Hiroshima University Hospital, Hiroshima, Japan.
Plastic and Reconstructive Surgery, Hiroshima University Hospital, Hiroshima, Japan. International Center for Lymphedema Hiroshima University Hospital.
Plast Reconstr Surg Glob Open. 2021 Aug 16;9(8):e3763. doi: 10.1097/GOX.0000000000003763. eCollection 2021 Aug.
Rheumatoid lymphedema is a rare but severely disabling condition caused by reduced lymphatic drainage. Most treatment methods are conservative and may lead to the exacerbation of lymphedema. Lymphatic venous anastomosis (LVA) is an effective treatment for lymphedema after surgery involving the lymphatic system, such as lymph node dissection for cancer treatment. LVA has not been used to treat rheumatoid lymphedema. We present a case of rheumatoid lymphedema treated with surgical procedures, including LVA. Following LVA, objective and subjective symptom relief was noted, along with decreased swelling and pain in the affected area. The postoperative course was uneventful. LVA for the treatment of rheumatoid lymphedema may provide definitive clinical improvements.
类风湿性淋巴水肿是一种由淋巴引流减少引起的罕见但严重致残的病症。大多数治疗方法是保守的，且可能导致淋巴水肿加重。淋巴静脉吻合术（LVA）是治疗涉及淋巴系统的手术后淋巴水肿的有效方法，例如癌症治疗中的淋巴结清扫术后。LVA尚未用于治疗类风湿性淋巴水肿。我们报告一例采用包括LVA在内的外科手术治疗的类风湿性淋巴水肿病例。LVA术后，观察到客观和主观症状均得到缓解，患区肿胀和疼痛减轻。术后过程顺利。LVA治疗类风湿性淋巴水肿可能会带来确切的临床改善。
