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乳腺癌综合治疗后上肢水肿的诊断与治疗

[Diagnosis and treatment of arm edema following combination therapy of breast cancer].

作者信息

Selivanov I S

出版信息

Med Radiol (Mosk). 1985 Jan;30(1):19-23.

PMID:3968991
Abstract

A lymphographic and phleobographic study of the lymph and blood outflow in 61 patients with postmastectomy upper limb edema showed that a complete block of the lymphatic vessels was observed in 86.5% and a partial block in 13.5% of the patients. Combined injuries of the lymphatic vessels and major veins aggravated the degree of limb edema. The presence of upper limb lymphostasis in the compensated venous outflow is an indication to the use of the microvenous shunting or dermatoplastic operations.

摘要

对61例乳房切除术后上肢水肿患者的淋巴和血液流出情况进行的淋巴管造影和静脉造影研究表明,86.5%的患者观察到淋巴管完全阻塞,13.5%的患者为部分阻塞。淋巴管和主要静脉的联合损伤加重了肢体水肿程度。在静脉流出得到代偿的情况下出现上肢淋巴淤积是采用微静脉分流术或皮肤成形手术的指征。

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