教育综述:淋巴水肿的管理——手术及非手术干预方法与证据
Educational Review: Management of Lymphedema-Approaches, Evidence for Surgical and Nonsurgical Interventions.
作者信息
Anzai Lavinia M, Chang David W
机构信息
Department of Surgery, Section of Plastic and Reconstructive Surgery, University of Chicago Medicine, Chicago, IL, USA.
出版信息
Ann Surg Oncol. 2025 May 20. doi: 10.1245/s10434-025-17463-x.
BACKGROUND
We aim to review the current medical and surgical management strategies for lymphedema and present methods for their successful integration into clinical practice. In addition, the following summary background data is provided. Lymphedema is a chronic condition resulting from impaired lymphatic drainage, leading to significant morbidity and reduced quality of life. Traditional management includes conservative therapies such as compression garments and physical therapy. However, advancements in surgical techniques have opened new avenues for treatment. This review aims to synthesize the available literature on both medical and surgical approaches to lymphedema management.
MATERIALS AND METHODS
This article explores the senior author's strategies and experiences in lymphedema treatment, supplemented by a literature review that supports the described techniques.
RESULTS
Effective lymphedema management is multifaceted, necessitating accurate diagnosis, medical treatment, and in some cases, surgical intervention. The senior author has sought to streamline his approach to this complex condition, and this article outlines his algorithm and techniques for treatment.
CONCLUSIONS
While conservative treatments remain the foundation of lymphedema management, surgical options in the properly selected patients have shown promising results. The integration of these approaches could enhance overall treatment efficacy and improve quality of life for individuals affected by lymphedema.
背景
我们旨在回顾当前淋巴水肿的医学和外科治疗策略,并介绍将这些策略成功应用于临床实践的方法。此外,还提供了以下背景数据总结。淋巴水肿是一种由于淋巴引流受损导致的慢性疾病,会引发严重的发病率并降低生活质量。传统治疗方法包括压力衣和物理治疗等保守疗法。然而,手术技术的进步为治疗开辟了新途径。本综述旨在综合有关淋巴水肿治疗的医学和外科方法的现有文献。
材料与方法
本文探讨了资深作者在淋巴水肿治疗方面的策略和经验,并辅以支持所述技术的文献综述。
结果
有效的淋巴水肿管理是多方面的,需要准确诊断、药物治疗,在某些情况下还需要手术干预。资深作者力求简化他对这种复杂疾病的治疗方法,本文概述了他的治疗方案和技术。
结论
虽然保守治疗仍然是淋巴水肿管理的基础,但在适当选择的患者中,手术选择已显示出有希望的结果。这些方法的结合可以提高整体治疗效果,并改善淋巴水肿患者的生活质量。