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乳腺癌相关淋巴水肿(BCRL)是乳腺癌术后常见并发症之一，可导致皮肤和组织纤维化、淋巴管增厚、肢体肿胀、疼痛及功能障碍，严重影响患者生活质量。目前常用治疗方法包括综合消肿治疗和手术治疗。淋巴管静脉吻合术(LVA)是一种治疗淋巴水肿的手术方法，其目的不仅是绕过淋巴阻塞，让淋巴液进入静脉系统，还能最大限度发挥剩余淋巴功能，以生理功能的方式重建淋巴循环，可快速显著改善淋巴水肿症状。本研究将详细介绍超显微LVA治疗BCRL患者的手术过程，为BCRL患者的临床治疗提供参考。
Abstract：Breast cancer-related lymphedema(BCRL) is a common postoperative complication of breast cancer that can lead to skin and tissue fibrosis, lymphatic vessel thickening, limb swelling, pain, and functional impairment, significantly affecting patients' quality of life. Current treatment options include comprehensive decongestive therapy and surgical interventions. Lymphaticovenous anastomosis(LVA) is a surgical technique for lymphedema management that aims not only to bypass lymphatic obstruction and redirect lymphatic fluid into the venous system but also to maximize the function of residual lymphatic pathways, thereby reconstructing lymphatic circulation through physiological mechanisms. This approach can rapidly and markedly alleviate lymphedema symptoms. This study provides a detailed overview of the supermicrosurgical LVA procedure for the treatment of BCRL, offering a clinical reference for optimizing therapeutic strategies in affected patients.
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基本信息:
中图分类号:R737.9
引用信息:
[1]汪金凤,陈琛琛,谭路露,等.超显微淋巴管静脉吻合术治疗乳腺癌相关淋巴水肿[J].巴楚医学,2025,8(04):11-15.
基金信息:
湖北省自然科学基金项目(2024AFB230)
2025-12-30
2025-12-30