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皮瓣转移结合负压抽吸治疗乳腺癌术后上肢淋巴水肿
引用本文:施越冬,亓发芝,张学军,顾建英,吴坤南. 皮瓣转移结合负压抽吸治疗乳腺癌术后上肢淋巴水肿[J]. 中华整形外科杂志, 2003, 19(6): 430-432
作者姓名:施越冬  亓发芝  张学军  顾建英  吴坤南
作者单位:200032,上海,上海复旦大学附属中山医院整形科
摘    要:
目的 探讨一种治疗乳腺癌根治术后上肢淋巴水肿的手术方法。方法 2001~2002年我们采用侧胸壁皮瓣或背阔肌肌皮瓣转移结合上肢负压抽吸治疗10例单侧乳腺癌根治术后上肢淋巴水肿患者。结果 术后所有患者上肢周径均有不同程度减小,核素淋巴管造影显示淋巴回流有显著改善。术后随访3~18个月,疗效稳定。结论 皮瓣转移结合负压抽吸可以有效地治疗乳腺癌根治术后淋巴水肿。

关 键 词:皮瓣转移 负压抽吸 手术治疗 乳腺癌 术后并发症 上肢淋巴水肿
修稿时间:2003-01-21

Flap transplantation combined with liposuction to treat upper limb lymphedema after mastectomy
SHI Yue-dong,QI Fa-zhi,ZHANG Xue-jun,GU Jian|ying,WU Kun-nan. Flap transplantation combined with liposuction to treat upper limb lymphedema after mastectomy[J]. Chinese journal of plastic surgery, 2003, 19(6): 430-432
Authors:SHI Yue-dong  QI Fa-zhi  ZHANG Xue-jun  GU Jian|ying  WU Kun-nan
Affiliation:Department of Plastic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Abstract:
OBJECTIVE: To investigate a new surgical method to treat unilateral limb lymphedem after radical mastectomy. METHODS: 10 cases of upper limb lymphedema after radical mastectomy were treated using flap transfer (the lateral thoracic skin flap or latissimus dorsi musculocutaneous flap combined with liposuction). RESULTS: After the treatment, the upper limb perimeter reduced in varied degrees. Nuclear lymphatic radiography showed notable changes in lymphatic circulation. The effective results were steady during the follow-up of 3-18 months. CONCLUSION: Flap transplantation combined with liposuction is a useful treatment for limb lymphedema from radical mastectomy.
Keywords:Lymphedema  Flap  Liposuction
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