血管手术后腹股沟部位淋巴并发症  

Groin Lymphatic Complication After Vascular Operations

作　　者：胡明[1] 陆信武[2] 蒋米尔[2] 

机构地区：[1]浙江省宁波市第二医院普外科,浙江宁波315000 [2]上海第二医科大学附属第九人民医院血管外科

出　　处：《中国医师杂志》2003年第5期622-623,共2页Journal of Chinese Physician

摘　　要：目的　探讨血管外科手术后腹股沟部位淋巴并发症发生的危险因素和治疗选择。方法　回顾性调查了 5 2 0例有腹股沟部位切口的血管手术。结果　有 16例患者血管手术后出现了腹股沟淋巴瘘 ,发生率为 3 0 8% ,腹股沟部位曾有手术史、淋巴肿大和广泛解剖者其淋巴并发症的发生率明显增加 ,其中 12例患者进行了保守治疗。 4例患者术后早期采用再次手术治疗。术后早期手术治疗者住院时间及伤口感染者明显降低。结论　腹股沟部位淋巴并发症仍然是血管外科医生感到麻烦的问题 ,重点在于预防其发生。淋巴并发症的治疗应采用个体化措施 ,如淋巴瘘持续存在 。Objective The purpose of this study was to investigate the associated risks and optimal management of groin lymphatic complications (GLC) after vascular operations.Methods Retrospectively review of 520 vascular operations requiring a groin incision was carried out.Results Sixteen GLC were recognized, the incidence GLC was 3 08%. Increased incidence of GLC in this series was found in previously dissected groin, excessive tissue anatomy and inguinal enlarged lymph nodes . 12 GLC were treated by conservative approach ,4 GLC were treated by early reoperation. Early reoperation reduced hospitalization time and less wound infection complications.Conclusions GLC is a troublesome problem in clinic,key is prevention.Treatment of GLC should be individualized,early reoperation should be performed if persistent lymphocutaneous fislula and large drainage existed.

关 键 词：血管手术 腹股沟部位淋巴并发症 

分 类 号：R654.3[医药卫生—外科学]