病变组织切除皮肤回植术治疗晚期下肢淋巴水肿  

Excision of the lesion with skin replanting for treatment of severe lower extremity lymphedema

作　　者：于仁义[1] 陈存富[1] 李江[1] 王克华[1] 陈铭锐[1] 郭小平[1] 刘本立[1] 赵东红[1] 吴玉家[1] 邝勇[1] 郎育红[1] 

机构地区：[1]济南军区总医院整形美容科,山东济南250031

出　　处：《中国美容医学》2008年第9期1279-1281,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究和探索晚期下肢淋巴水肿手术治疗的有效方法。方法:采用病变组织切除皮肤回植方式治疗晚期下肢淋巴水肿。结果:所有患者术后患肢外形较术前明显变细,功能恢复良好,5例患者中有4例首次植皮成活90%,外形功能恢复比较理想,1例首次植皮成活较差,再次植皮修复,功能恢复,但外观不理想。结论:对严重的晚期淋巴水肿患者,采用病变组织切除次全厚皮肤回植是较好的治疗方法。Objective To evaluate the effect of operative treatment on severe lower extremity lymphedema. Methods Five patients of severe lower extremity lymphedema undertook surgical treatment by excision of the lesion with concomitant skin replanting. Results The lower extremities of all patients appearance significantly thinner and come out good functional recovery, 90% survival of skin graft in four cases, one case received another operation. Conclusion The excision of lesion with concomitant skin replanting in severe lower extremity lymphedema brings out a definite effect.

关 键 词：淋巴水肿 病变组织切除 皮肤回植 

分 类 号：R622[医药卫生—整形外科]