皮肤衍生的血管性淋巴结转移与脂肪吸相结合,用于双边下肢淋巴:一个病例报告
Wenjie Pan1, Liangliang Wang1, Miaomiao Wei1
1Department of Burns and Plastic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Frontiers in oncology
|October 29, 2025
概括
本案例研究提出了一种两阶段的手术方法来治疗双边下肢淋巴 (LEL). 结合血管化淋巴结转移 (VLNT) 和抽脂,有效减少四肢体积,改善患者的生活质量.
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:
- 双边下肢淋巴 (LEL) 显著影响患者的生活质量.
- 在宫癌手术后,LEL可能会发展,正如这次国际淋巴病学会II期病例所示.
- 目前严重LEL的治疗选择有局限性.
研究的目的:
- 评估一种新的双阶段手术方法对双边下肢淋巴的疗效.
- 评估血管化淋巴结转移 (VLNT) 和抽脂在管理LEL的联合作用.
- 报告手术后患者的结果和淋巴功能改善情况.
主要方法:
- 在一个66岁的女性患者身上进行了两阶段的外科干预,该患者双边LEL.
- 第1阶段涉及将血管化的淋巴结从关节上部区域转移到左侧的尾.
- 第二阶段涉及将皮肤衍生的淋巴结从脑下区域转移到右骨,两者都与抽脂相结合.
主要成果:
- 患者在手术后的生活质量显著改善.
- 12个月后的淋巴细胞切片显示出大量的体积减少:左下肢2129.28毫升,右下肢1699.65毫升.
- 在康复期间没有观察到任何并发症,并在30个月的随访期间没有报告胀的复发.
结论:
- 结合VLNT和抽脂的两阶段手术方法似乎是双边下肢淋巴的有效治疗方法.
- 这一策略为改善LEL患者的淋巴功能和生活质量提供了一个有希望的选择.
- 需要对更大的队列进行进一步的研究来证实这些发现.
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