Acta Metallurgica Sinica

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Prevention and management of lower-limb lymphedema after pelvic lymphadenectomy.

FENG Feng-zhi, XIANG Yang.   

  1. Peking Union Medical College Hospital,Chinese Academy of Medical Sciences, Beijing 100730, China
  • Online:2014-11-02 Published:2014-11-07

盆腔淋巴结切除术后下肢淋巴水肿的预防与处理

冯凤芝,向阳   

  1. 作者单位:中国医学科学院北京协和医院妇产科,北京 100730
  • 通讯作者: 向阳

Abstract:

Abstract: Lower-limb lymphedema (LLL) is a common complication of pelvic lymphadenectomy for gynecological cancers, its chronic and incurable nature reduces the quality of life of patients. Several strategies, such as lymphadenectomy without circumflexiliac nodes, leaving the retroperitoneum open at surgery and a careful assessment of postoperative radiotherapy, were significantly effective in prevention of LLL. Comprehensive therapy,including complex physical therapy, medical therapy and surgery,is an effective intervention for LLL.

Key words: lower-limb lymphedema, pelvic lymphadenectomy, prevention, management

摘要:

下肢淋巴水肿(lower-limb lymphedema,LLL)是盆腔淋巴结切除术后的常见并发症之一,具有长期性及难治愈性,严重影响患者的生活质量。盆腔淋巴结切除术中保留旋髂淋巴结、术中不关闭后腹膜,以及严格掌握术后辅助放疗的指证等措施,均能明显减少LLL的发生。LLL的治疗多采用综合方法,包括综合物理治疗、药物治疗和手术等。

关键词: 下肢淋巴水肿, 盆腔淋巴结切除, 预防, 治疗

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