论文部分内容阅读
目的:通过病例分析,研究先天性淋巴水肿几种治疗方法的优劣与指征。方法:复习48例先天性淋巴水肿,其中3例术前核素淋巴显像确诊。本组8例行真皮瓣埋藏术,37例行病变切除加游离植皮,1例行淋巴静脉吻合术,2例未手术。结果:8例行真皮瓣埋藏术者6例效果满意,37例行病变切除加游离植皮者效果均满意。结论:核素淋巴显像是一种诊断淋巴水肿的可靠客观方法。本病较轻者行真皮瓣埋藏术效果较好,较重者宜行病变切除加自体植皮术。而淋巴静脉吻合术技术困难且对先天性淋巴水肿效果欠佳。
Objective: To analyze the advantages and disadvantages of several treatment methods for congenital lymphedema by case analysis. Methods: 48 cases of congenital lymphedema were reviewed, of which 3 cases were diagnosed by preoperative lymphadenectomy. The group of 8 cases of flap burial operation, 37 cases of pathological resection plus free skin graft, 1 case of lymphatic venous anastomosis, 2 cases without surgery. Results: 8 cases of dermal flap embolization were satisfactory in 6 cases, 37 cases of lesion removal plus free skin graft were satisfactory. Conclusions: Lymphoscintigraphy is a reliable and objective method of diagnosing lymphedema. Lesions of the lesion performed better flap burial, heavier lesions should be removed plus autologous skin graft surgery. Lymphatic venous anastomosis is difficult and has a poor effect on congenital lymphedema.