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硅胶管皮下植入治疗下肢淋巴水肿

Surgical treatment of lower extremity lymphedema with subcutaneous implantation of silicone tubing.

作者信息

Çevirme Deniz, Zengin Ahmet, Abamor Evrim, Sunar Hasan, Kaan Kırali Mehmet

机构信息

Department of Cardiovascular Surgery, Kartal Koşuyolu High Specialization Training and Research Hospital, Istanbul, Türkiye.

Department of Nuclear Medicine, Kartal Dr. Lütfi Kırdar City Hospital, Istanbul, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Jul 29;30(3):453-457. doi: 10.5606/tgkdc.dergisi.2022.22554. eCollection 2022 Jul.

DOI:10.5606/tgkdc.dergisi.2022.22554
PMID:36303685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9580300/
Abstract

A 65-year-male patient was admitted to our clinic with swollen, painful, and wound discharge of lower extremity. There was widespread edema, skin infection, and lymphangitis secondary Stage 3 lymphedema below the knee. In addition to conventional treatment methods, lymphatic artificial pathway creation was used with subcutaneous implantation of silicone tubing. In conclusion, subcutaneous implantation of silicone tubing is a new technique that can be applied in advanced stage lymphedema patients, which increases the effectiveness of compression therapy.

摘要

一名65岁男性患者因下肢肿胀、疼痛及伤口渗液入住我院。存在广泛水肿、皮肤感染及膝下3期淋巴水肿继发的淋巴管炎。除常规治疗方法外，采用了皮下植入硅胶管建立淋巴人工通路。总之，皮下植入硅胶管是一种可应用于晚期淋巴水肿患者的新技术，可提高压迫治疗的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/05d8353cccb7/TJTCS-2022-30-3-453-457-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/e86f315f41e2/TJTCS-2022-30-3-453-457-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/65743fc405f3/TJTCS-2022-30-3-453-457-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/96f1eaa04ed2/TJTCS-2022-30-3-453-457-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/68ba6897981e/TJTCS-2022-30-3-453-457-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/186d4f040376/TJTCS-2022-30-3-453-457-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/05d8353cccb7/TJTCS-2022-30-3-453-457-F6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/e86f315f41e2/TJTCS-2022-30-3-453-457-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/65743fc405f3/TJTCS-2022-30-3-453-457-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/96f1eaa04ed2/TJTCS-2022-30-3-453-457-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/68ba6897981e/TJTCS-2022-30-3-453-457-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/186d4f040376/TJTCS-2022-30-3-453-457-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7728/9580300/05d8353cccb7/TJTCS-2022-30-3-453-457-F6.jpg

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本文引用的文献

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Functional classification of secondary lymphedema.继发性淋巴水肿的功能分类
Ann Med Surg (Lond). 2019 Nov 1;48:81-82. doi: 10.1016/j.amsu.2019.10.025. eCollection 2019 Dec.
2
Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists.从物理医学与康复专家的角度看淋巴水肿的诊断、治疗及随访
Turk J Phys Med Rehabil. 2018 Sep 3;64(3):179-197. doi: 10.5606/tftrd.2018.3539. eCollection 2018 Sep.
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A novel method of edema fluid drainage in obstructive lymphedema of limbs by implantation of hydrophobic silicone tubes.
一种通过植入疏水性硅酮管治疗肢体阻塞性淋巴水肿的新方法。
J Vasc Surg Venous Lymphat Disord. 2015 Oct;3(4):401-408. doi: 10.1016/j.jvsv.2015.05.001. Epub 2015 Jun 30.
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