应用皮瓣桥接治疗阴囊及下肢淋巴水肿的疗效观察

【英文篇名】Use of flap bridging in the treatment of lymphedema of scrotum and lower extremities

【作者中文名】朱力; 牛星焘; 马勇光; 秦荣生; 薛宏宇; 陈曼; 李健宁;

【作者英文名】Zhu Li; Niu Xingtao; Ma Yongguang; et al. Department of Plastic Surgery; Peking University Third Hospital; Beijing 100083; China.;

【作者单位】北京大学第三医院成形科; 北京大学第三医院成形科 北京;

【文献出处】中国微创外科杂志, Chinese Journal of Minimally Invasive Surgery, 编辑部邮箱 2003年 02期

期刊荣誉：

【关键词】淋巴水肿; 皮瓣;

【英文关键词】Lymphedema Flap;

【摘要】目的探讨皮瓣桥接法治疗淋巴水肿的疗效。方法对 8例阴囊及下肢淋巴水肿所致严重皮肤病变应用轴型皮瓣和任意型皮瓣 (胸腹联合皮管 )治疗。切除病变组织、移转皮瓣、桥接引流淋巴液。结果 2年～ 7年术后随访观察 ,除 1例外伤性小腿淋巴水肿术后 3年复发外 ,其余各例淋巴水肿病变部位术后 6月～ 12月逐渐显效 ,患肢肿胀均有不同程度的减轻且病情稳定 ,无丹毒及蜂窝织炎再发 ,手术效果满意。结论利用皮瓣修复淋巴水肿所致的严重皮肤病变部位是治疗淋巴水肿的一种有效方法。

【英文摘要】Objective To summarize the curative effect of flap bridging for lymphedema. Methods The axial flap and the random tube flap (joining the chest and abdomen) were used to treat 8 cases of lymphedema on scrotum and legs resulting in serious pathological changes of skin.The lesions were excised, flaps transferred and bridged, and then lymph fluid drained. Results Follow-up observations for 2～7 years showed recurrence in 1 case of traumatic shank lymphedema 3 years after operation.The remaining patients became …