摘要
目的 探讨带瓣膜的静脉移植手术对乳腺癌根治术后上肢淋巴水肿的治疗作用。方法 9例乳腺癌根治术后上肢淋巴水肿患者 ,进行了移植下肢大隐静脉及其属支桥接代替淋巴管 ,远端与上肢淋巴管吻合 ,近端与颈外静脉或者头静脉吻合。结果 术后上肢淋巴水肿消退显著 ,表现为 :周径减小和体积缩小 ,5例优良 ,3例良好 ,1例改善 ;随访 3～ 2 1个月 ,疗效稳定。结论 带瓣膜的静脉移植代替淋巴管对乳腺癌术后上肢淋巴水肿有显著治疗作用 。
Objective To investigate the therapeutic effect of potent valvular vein transplantation in the treatment of postmastectomy upper limb lymphedema. Methods 9 cases with postmastectomy upper limb lymphedema were operated by transplantation of the greater saphenous vein and its tributaries with intact valvular function to bypass the congested lymphatic area in the upper extremity, distal ends of the vein were anastomosed with the lymphatics in the lymphedemous upper limb and proximal end with jugular vein or cephalic vein. Results The reduction of the upper limb lymphedema was remarkable with decrement of circumferences and volume of the involved limb after operation; it remained stable during followup of 321 months. Conclusion The operation with transplantation of potent valvular vein can reduce the postmastectomy limb lymphedema significantly, which is a new approach to the management of upper limb lymphedema.(Shanghai Med J, 2000,23∶393395)
出处
《上海医学》
CAS
CSCD
北大核心
2000年第7期393-395,共3页
Shanghai Medical Journal
