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淋巴管静脉吻合治疗四肢淋巴水肿远期疗效观察——附32例报告
引用本文:林伟龙,范永前,李连生. 淋巴管静脉吻合治疗四肢淋巴水肿远期疗效观察——附32例报告[J]. 上海医学, 1998, 0(7)
作者姓名:林伟龙  范永前  李连生
作者单位:上海 华东医院骨科,上海 华东医院骨科,上海 华东医院骨科 200040,200040,200040
摘    要:目的:探讨应用显微淋巴管静脉吻合术治疗四肢淋巴水肿的远期疗效。方法:对1983年至1989年32例采用显微淋巴管静脉吻合术治疗四肢淋巴水肿患者进行9~15年随访。结果:患者肢体周径缩小,皮肤柔软,丹毒发作完全控制19例,占59.4%。偶有丹毒发作9例,占28.1%。无效4例,占12.5%。结论:应用显微淋巴管静脉吻合术治疗四肢淋巴水肿,减少感染发作,具有显著的疗效。

关 键 词:淋巴水肿  淋巴管静脉吻合术  丹毒

The long-term effect of in treating microlymphatico-venous anastomosis,patients with lymphedema of extremities analysis of 32 cases
Lin Weilong Fan Yongqian Li Liansheng. The long-term effect of in treating microlymphatico-venous anastomosis,patients with lymphedema of extremities analysis of 32 cases[J]. Shanghai Medical Journal, 1998, 0(7)
Authors:Lin Weilong Fan Yongqian Li Liansheng
Affiliation:Lin Weilong Fan Yongqian Li Liansheng. Department of Orthropedic,Hua Dong Hospital,Shanghai,200040
Abstract:Objective:The aim of this study was to evaluate the long-term effect of microlymphatico-venous anasto- mosis for treating lymphedema.Methods:From 1983 to 1989,36 patients with lymphedema were treated by microlym- phatico-venous anastomosis.32 patients had been followed up,with an mean period of 12.8 years (9-15 years).Re- sults:The circumference of the extremities were decreased and the overlying skin was softened.19 patients with erysipelas (59.4%) were cured.9 (28.1%) had occasional episodic attack and ineffective in 4 (12.5%).Conclusions:It suggests that microlymphatico-venous anastomosis may reduce the rate of in fection,this procedure is effective for treat- ment of lymphedema of extremities.
Keywords:Lymphedema  Microlymphatico-venous anastomosis  Erysipelas  
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