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首页> 外文期刊>Journal of Surgical Oncology >Long-term outcome of lower extremity lymphedema treated with vascularized lymph node flap transfer with or without venous complications
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Long-term outcome of lower extremity lymphedema treated with vascularized lymph node flap transfer with or without venous complications

机译：用血管化淋巴结皮瓣转移或没有静脉并发症治疗下肢淋巴水肿的长期结果

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Background: Vascularized submental lymph node (VSLN) transfer is an emerging approach for extremity lymphedema. This study investigated the long-term outcome and venous complications of VSLN for unilateral lower extremity lymphedema. Methods: Between 2010 and 2018, patients who underwent VSLN for unilateral lower extremity lymphedema were retrospectively evaluated. Patient demographics, operative records, complications, circumferential improvement, and episodes of cellulitis were analyzed. Further comparisons were performed between different types, numbers, and techniques of venous anastomoses. Results: A total of 75 VSLNs in 70 patients survived, giving a 100% success rate. Six flaps (8%) had venous complications (VC group) and 69 flaps (92%) did not (No-VC group). There were no statistical differences in types, numbers, and techniques of anastomoses between two groups (P = .65, 1, and .56, respectively). At a mean follow-up of 32.0 +/- 23.0 months, mean circumferential improvement and episodes of cellulitis between two groups did not statistically differ significantly (P = .31 and .09, respectively). Conclusions: VSLN is an effective treatment for lower extremity lymphedema. The types, numbers of veins, and techniques of venous anastomoses did not statistically affect the venous complication rates. Functional outcomes of the VSLNs were not compromised if venous complications were salvaged promptly.
机译：背景：血管化泡淋巴结（VSLN）转移是极端淋巴水肿的新出现方法。本研究调查了VSLN的长期结果和静脉并发症，用于单侧下肢淋巴米肿瘤。方法：2010年至2018年间，回顾性评估了对单侧下肢淋巴米淋巴模VSLN的患者。分析了患者人口统计，手术记录，并发症，圆周改善和蜂窝炎的发作。在不同类型，数量和静脉吻合术技术之间进行进一步的比较。结果：70例患者共有75名VSLNS存活，达到100％的成功率。六瓣（8％）有静脉并发症（VC组）和69瓣（92％）没有（NO-VC组）。两组之间的类型，数量和吻合吻合的类型的统计学差异（分别为p = .65,1和.56）。在平均随访32.0 +/- 23.0个月，两组之间的平均周向改善和蜂窝织炎的发作没有显着统计学意义（分别为p = .31和.09）。结论：VSLN是对下肢淋巴水肿的有效治疗方法。静脉吻合术的类型，静脉的数量和技术没有统计学上影响静脉并发症率。如果仍然挽救静脉并发症，则VSLNS的功能结果并未受到损害。

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