血管化淋巴结移植供区及受区的选择策略及其进展

陈家扬; 胡伟军; 张卫华; 韩林轩; 兰荣玉

doi:10.3760/cma.j.cn501225-20250220-00076

血管化淋巴结移植供区及受区的选择策略及其进展

doi: 10.3760/cma.j.cn501225-20250220-00076

广西中医药大学附属瑞康医院修复重建显微外科,南宁　530011

基金项目:

广西壮族自治区卫生健康委自筹经费科研课题 Z-A20240798

详细信息

通讯作者:
兰荣玉,Email：book0597@163.com

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出版历程
- 收稿日期: 2025-02-20

Selection strategies and progress of donor and recipient sites for vascularized lymph node transfer

Department of Reconstructive Microsurgery, Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine, Nanning 530011, China

Funds:

Self-Funded Scientific Research Project of the Health Commission of the Guangxi Zhuang Autonomous Region Z-A20240798

More Information

Corresponding author: Lan Rongyu, Email: book0597@163.com

摘要

摘要: 淋巴水肿是淋巴系统功能障碍导致的富含蛋白质的间质液在皮下组织和皮肤内积聚的慢性、进展性疾病。淋巴水肿不仅对患者的肢体功能造成损害,还对其心理健康带来严重影响。目前虽然存在诸多治疗方法,但都很难彻底改善长期的淋巴水肿。近年来,基于显微外科技术的血管化淋巴结移植治疗淋巴水肿成为研究热点,并已被证实可有效减小患肢体积,提高患者生活质量。但关于血管化淋巴结移植供区组织瓣的选择、受区部位的确定等方面仍缺乏统一标准。该文以血管化淋巴结移植的供区与受区选择策略为出发点,结合最新研究进展进行综述,旨在为临床实践提供循证医学依据,推动淋巴水肿治疗的规范化发展。
- 淋巴水肿 /
- 外科皮瓣 /
- 显微外科手术 /
- 淋巴结 /
- 血管化淋巴结移植
Abstract: Lymphedema is a chronic and progressive disease resulted from the accumulation of protein-rich interstitial fluid in subcutaneous tissue and skin due to dysfunction of the lymphatic system. Lymphedema not only severely causes damage to the limb function of patients but also affects their mental health. Although there are many treatment methods available at present, it is difficult to completely improve long-term lymphedema. In recent years, vascularized lymph node transfer based on microsurgical techniques has become a research hotspot for the treatment of lymphedema and has been proven to be effective in reducing the volume of affected limbs and improving the quality of life of patients. However, there is still a lack of unified standards regarding the selection of donor site tissue flaps and the determination of recipient sites. This article starts with the selection strategies of donor and recipient sites for vascularized lymph node transfer, and reviews the latest research progress, aiming to provide evidence-based medical evidence for clinical practice and promote the standardized development of lymphedema treatment.
- Lymphedema /
- Surgical flaps /
- Microsurgery /
- Lymph nodes /
- Vascularized lymph node transfer
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参考文献(61)

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