肢体淋巴水肿淋巴管超声造影分型及临床意义  

Classification and clinical significance of lymphatic vessel ultrasound contrast in limb lymphedema

作　　者：李素淑 刘红梅 李文静 祝李霖[1] 左洁仪 许智莉 徐茗 何燕妮 Li Sushu;Liu Hongmei;Xu Ming;Li Wenjing;Zhu Lilin;Zuo Jieyi;Xu Zhili;He Yanni(Guangdong Second People's Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《中国临床解剖学杂志》2025年第2期143-146,共4页Chinese Journal of Clinical Anatomy

基　　金：广东省第二人民医院优秀青年人才项目(2024E003);广州特色技术项目(2023P-TS40);广东省医学科研基金(A2023043)。

摘　　要：目的探讨基于超声造影的淋巴管分型为肢体淋巴管-静脉吻合术(LVA)提供解剖学依据。方法前瞻性纳入25例继发性肢体淋巴管水肿患者,入组后行超声造影检查并根据其不同表现进行淋巴管分型,于LVA术前及术后对84个手术部位进行超高频超声成像评价淋巴管内淋巴液流动情况,并比较不同淋巴管分型对于手术疗效的影响。结果术前淋巴管超声造影不同分型在LVA术后吻合口通畅性存在一定差异。结论基于超声造影的淋巴管分型及辅助定位技术能显著提升LVA手术的精准性。Objective To explore the anatomical basis based on ultrasound angiography(CEUS)for limb lymphatic vessel venous anastomosis(LVA).Methods Twenty-five patients with secondary lymphatic vessel edema were prospectively included,84 surgical sites before and after LVA operation,and the influence of different lymphatic vessel classification on surgical efficacy was compared.Results There was some differences in anastomotic patency after LVA.Conclusion The lymphocyte classification and auxiliary positioning technique based on CEUS can significantly improve the accuracy and therapeutic effect of LVA surgery.

关 键 词：超声造影 淋巴管-静脉吻合术 超高频超声 淋巴管 

分 类 号：R445.1[医药卫生—影像医学与核医学]