手动负压抽吸联合血管化淋巴结移植治疗继发性下肢淋巴水肿的疗效分析

目的 探讨手动负压抽吸联合血管化淋巴结移植治疗继发性下肢淋巴水肿的临床疗效.方法 回顾性分析2018年11月至2021年11月接受联合治疗的12例妇科恶性肿瘤术后继发性下肢淋巴水肿患者的临床资料.患肢大腿采用手动负压抽吸减容,同时取锁骨上血管化淋巴结移植至患侧小腿.比较治疗前后患肢周径变化;记录治疗前后丹毒发作情况及生...

Simultaneous application of vascularized lymph nodes transfer and liposuction for treatment of secondary lymphedema of the lower extremities

Objective To investigate the clinical efficacy of liposuction combined with vascularized lymph nodes transfer in the treatment of secondary lymphedema of the lower extremities.Methods A retrospective analysis was performed on the clinical data of 12 patients with secondary lymphedema of the lower extremity after gynecological malignant tumor surgery from November 2018 to November 2021.The volume of the affected thigh was reduced by liposuction,and the supraclavicular vascularized lymph nodes were removed and transplanted to the lower leg.Paired T test was used to compare the circumference of the affected extremities before and after treatment.Meanwhile,the incidence of erysipelas and the change of quality of life before and after treatment were recorded.Results About 500-1200 mL adipose tissue was extracted from the thigh of the affected limb,with an average of(917±196)mL.The diameter of the affected extremities was significantly reduced after operation(P<0.05).No erysipelas occurred during follow-up,and the subjective symptoms were significantly improved while compared with those before operation.Conclusion Liposuction combined with vascularized lymph nodes transfer is an effective method for the treatment of lower extremity lymphedema,and is worthy of clinical application.