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[医源性静脉病变与放射外科治疗后手臂肿胀。关于100例病例]

[Iatrogenic venous pathology and post-radiosurgery swollen arm. Apropos of 100 cases].

作者信息

Megret G

出版信息

Phlebologie. 1985 Oct-Dec;38(4):609-19.

PMID:4095149
Abstract

Lymphostasis of the upper limb, succeeding the radiosurgical treatment of breast cancer, has been known for some time, along with the clinical entity generally called "swollen arm". Post radiosurgical venous disorders have, however, been much less studied, and so the author's survey is based on a systematic, clinical, and phlebo-lympho-scintigraphical study of 100 case histories. Out of the 100 cases studied, almost 80% presented mixed lympho-venous anomalies, whilst 25% of the cases proved to be "swollen arm" of purely venous origin. Finally the author analyses the different vascular lesions encountered in the follow-up of radio-surgical treatment and the therapeutic conclusions to be drawn from these.

摘要

上肢淋巴郁滞继乳腺癌放射外科治疗之后出现已有一段时间,同时还有通常称为“手臂肿胀”的临床病症。然而,放射外科治疗后的静脉疾病研究要少得多,因此作者的调查基于对100例病例史的系统、临床及静脉淋巴闪烁扫描研究。在所研究的100例病例中,近80%呈现混合性淋巴静脉异常,而25%的病例被证明是纯静脉源性的“手臂肿胀”。最后,作者分析了放射外科治疗随访中遇到的不同血管病变以及由此得出的治疗结论。

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