Tilley A R, Douglas L G
Can Med Assoc J. 1974 Feb 2;110(3):309-12.
Lymphedema of the lower extremities poses a challenging problem in management. Gross deformities may be encountered in patients with filarial infestation. This degree of involvement is rare in native North Americans suffering from primary lymphedema.A case is presented of a patient with changes similar to those seen in filariasis, due to several episodes of acute lymphangitis over a period of years. The involved tissue was excised and the defects skin-grafted, employing a modified Charles procedure. The magnitude of the excision was such that it was carried out in three widely spaced stages. The result was satisfactory from a functional viewpoint, and also represented a marked cosmetic improvement.
下肢淋巴水肿在治疗方面是一个具有挑战性的问题。丝虫感染患者可能会出现严重畸形。在患有原发性淋巴水肿的北美原住民中，这种受累程度很少见。本文介绍了一例患者，由于数年中多次发生急性淋巴管炎，其症状与丝虫病相似。切除受累组织，并采用改良的查尔斯手术方法对缺损部位进行植皮。切除范围较大，分三个间隔较宽的阶段进行。从功能角度看，结果令人满意，在外观上也有显著改善。
