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淋巴的脂肪抽是否会使淋巴损伤变得更糟?
W F Chen1, S K Pandey1, J N Lensing2
1Center for Lymphedema Research and Reconstruction, Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Lymphology
|November 29, 2023
概括
用于淋巴 edem 治疗的抽脂可以有效地减少四肢体积并改善生活质量. 客观的淋巴功能评估显示没有恶化,在淋巴排水后的过程中出现了矛盾的逐步改善.
科学领域:
- 整形外科 整形外科 整形外科
- 血管外科 血管外科
- 淋巴 edem 管理 淋巴 edem 管理
背景情况:
- 吸脂是一种已知的淋巴瘤治疗方法.
- 人们担心吸脂可能会对淋巴细胞造成损伤.
研究的目的:
- 客观地评估淋巴功能之前和之后抽脂在淋巴患者.
- 评估抽脂对淋巴排水和患者结局的影响.
主要方法:
- 对41名患有固体主导淋巴的患者 (57个四肢) 的前性研究.
- 评估包括患者报告的结果,LYMQOL,四肢测量和氨酸绿色淋巴图 (ICGL).
- 脂肪切除和多余皮肤切除后的随访平均为10.7个月.
主要成果:
- 肢体体积显著减少 (平均32.2%) 和改善LYMQOL分数.
- 没有患者在ICGL上表现出淋巴疏通恶化;所有患者都表现出改善的疏通.
- 在整个随访期间,淋巴排水的改善是渐进的.
结论:
- 用于 extremity 淋巴的脂肪抽并不会损害淋巴功能.
- 这种程序矛盾地诱导了淋巴排水的逐步改善.
- 抽脂是一种安全有效的治疗选择,用于选择淋巴患者.
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