超显微外科淋巴管静脉吻合术在肢体淋巴水肿中的应用  

Application of supermicrosurgical lymphaticovenular anastomosis in the treatment of limb lymphedema

作　　者：刘长瑞 王鹤君 王营营 朱见 王丹 刘懿心 贺青卿 LIU Changrui;WANG Hejun;WANG Yingying;ZHU Jian;WANG Dan;LIU Yixin;HE Qingqing(Department of Thyroid and Breast Surgery,The 960 Hospital of the Joint Service Support Force of the People's Liberation Army of China,Jinan 250031,China)

机构地区：[1]中国人民解放军联勤保障部队第九六〇医院甲状腺乳腺外科,山东省济南市250031

出　　处：《组织工程与重建外科》2025年第1期77-82,共6页Journal of Tissue Engineering and Reconstructive Surgery

基　　金：山东省医药卫生解放军第九六〇医院重点学科;中国人民解放军联勤保障部队医学重点学科项目。

摘　　要：肢体淋巴水肿的治疗主要分为保守治疗(非手术)和手术治疗。保守治疗不能解决淋巴系统的引流功能障碍,无法解决淋巴系统潜在的生理功能障碍,因此不能有效阻止疾病的进展。针对淋巴引流功能的生理性修复手术显得尤为重要。随着对淋巴系统研究的深入,显微外科技术的发展进步,超显微淋巴管-静脉吻合术,因其远期疗效显著,加之操作精细,创伤小,手术并发症少,费用低等特点,在临床上得到广泛应用。本文从淋巴管静脉吻合术的发展、手术方式以及其存在的问题和解决方案三个方面对国内外的文献进行归纳总结,为临床手术方式的选择提供参考。The treatment of limb lymphedema includes conservative treatment(non-surgical)and surgical treatment.Conservative treatment can not solve the drainage dysfunction of the lymphatic system and solve the potential physiological dysfunction of the lymphatic system,and therefore can not effectively prevent the progression of the disease.Physiologic reconstruction for drainage function is particularly important.With the in-depth study of lymphatic system and the development of microsurgical technology,supermicrosurgical lymphaticovenular anastomosis has been widely used in clinical practice because of its significant long-term efficacy,less trauma,fewer surgical complications and low cost.In this paper,the relevant domestic and foreign literatures were reviewed from the three aspects:The development of lymphaticovenular anastomosis,the operation methods,the existing problems and the solutions,to provide reference for the selection of surgical methods.

关 键 词：淋巴水肿 淋巴管静脉吻合术 超显微外科 

分 类 号：R551.2[医药卫生—血液循环系统疾病]