摘要
继发性淋巴水肿是一种因手术、外伤、感染等导致淋巴回流受阻,引起皮下组织发生炎症、水肿、脂肪沉积、纤维化等病变的慢性进展性疾病。早期、规范、整合、全程是继发性淋巴水肿的治疗原则,个性化规范治疗是其治疗目的。该文基于单中心的治疗经验,总结出继发性下肢淋巴水肿的外科整合治疗算法,提出个性化治疗需综合评估淋巴水肿的严重程度、病变成分及淋巴管功能,且需结合国际淋巴学会分期及影像学检查结果来进行。该算法基于分体区、分期及整合治疗原则,可实现精准的个性化干预,具备一定的临床推广价值。
Secondary lymphedema is a chronic progressive disease caused by lymphatic flow obstruction due to surgery,trauma,infection,etc.,leading to inflammation,edema,adipose deposition,and fibrosis in subcutaneous tissue.While early,standardized,integrated,and sustained treatment is the principle for managing secondary lower limb lymphedema,and the goal is to provide a personalized and standardized treatment.Based on single-center treatment experience,this article summarizes an integrated surgical treatment algorithm for secondary lower limb lymphedema.It proposes that personalized treatment requires comprehensive assessment of lymphedema severity,pathological components,and lymphatic function,incorporating the International Society of Lymphology staging and imaging findings.This algorithm is based on the principles of regionalization(body regions),staged approach,and integrated treatment to achieve precise personalized intervention,which demonstrates certain value for clinical promotion.
作者
邓呈亮
陈君哲
肖顺娥
吴祥奎
李海
吴必华
魏在荣
Deng Chengiang;Chen Junzhe;Xiao Shune;Wu Xiangkui;Li Hai;Wu Bihua;Wei Zairong(Department of Burn and Plastic Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563003,China)
出处
《中华烧伤与创面修复杂志》
北大核心
2025年第6期516-524,共9页
Chinese Journal of Burns And Wounds
基金
国家自然科学基金面上项目(82372541)
国家自然科学基金地区科学基金项目(82260391,82360448)
贵州省淋巴水肿基础与临床研究科技创新人才团队建设(黔科合人才CXTD〔2025〕051)。
关键词
淋巴水肿
算法
外科手术
整合治疗
Lymphedema
Algorithms
Surgical procedures,operative
Integrated treatment
