烘绑治疗后淋巴水肿皮肤纤维化程度的变化  

ABSTRACTTHE CHANGES OF DEGREE OF FIBROSIS OF SKIN IN LYMPHEDEMA FOLLOWINGHEATING AND BANDAGE THERAPY

作　　者：张如鸿[1] 黄文义[1] 干季良[1] 张涤生[1] 张梅[1] 苏永新[1] 付爱芬[1] 

机构地区：[1]上海第二医科大学附属第九人民医院整形外科,上海第二医科大学病理科

出　　处：《中国修复重建外科杂志》1995年第3期165-168,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：应用生化测定技术和组织学观察手段，对１５例下肢淋巴水肿患者在烘绑治疗前后的皮肤组织进行比较研究后发现；烘绑疗法能①降低病变皮肤组织中羟脯氨酸的含量；②减轻皮肤厚度，减少皮肤含水量；③促进局部组织的微循环；④提高病变组织中的吞噬细胞活性。结合临床观察指标，提出烘绑疗法的作用机理：①改善局部微循环，促进组织间液和蛋白质的回吸收；②提高吞噬细胞的活性，降低病变组织纤维化的程度。By using biochemical assessment technique and histotogieal examination,a comparative studyof the cutaneous tissues in 16 patients with lymphedema of the lower extremity before and afterthe heating and bandage therapy,and it was noted that the heating and bandage therapy might :(1)the content of hydroxyproline in the affected sk in would be decreased;(2)the thick ness ofskin was decreased and the water content was reduced;(3)the microcirculation of loeal tissueswas enhanced,and(4)the activity of the macrophages was increased.In conjunction with thecriteria of clinical observation,the action mechanism of heating and bandage therapy might be asfollows:(1)improve the locarmicrocirculation and enhance the resorption of tissue fluid and theprotein,and(2)increase the activity of the macrophages,and minimlze the extent of fibroSis ofthe affected tissues.

关 键 词：淋巴水肿 热疗法 烘绑疗法 皮肤 组织学 纤维化 

分 类 号：R551.205[医药卫生—血液循环系统疾病]