Lymphatic dysfunction after ligation surgery for varicose vein.
Lymphatic dysfunction after ligation surgery for varicose vein.
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DOI：
10.1177/2050313x16672154
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发表时间：
2016
影响因子：
0.8
通讯作者：
Yamanaka K
中科院分区：
文献类型：
--
作者：
Hara H;Mihara M;Hasegawa K;Yamanaka K
虽然静脉曲张手术后有时会发生淋巴管并发症，如淋巴囊肿，但这类患者的淋巴功能尚未得到评估。在此病例报告中，我们提出一个静脉曲张结扎手术后发生淋巴管囊肿的病例。我们还检测了亚临床功能障碍下肢吲哚菁绿色（ICG）淋巴造影。一位76岁女性因右小腿静脉曲张接受结扎手术，她注意到右膝内侧有一个扁平的病变。三年后，她咨询了我们的诊所，我们进行了ICG淋巴造影。我们观察到肿块周围的真皮回流，这表明淋巴功能障碍。在膝关节周围注射额外的ICG后，我们从肿块中穿刺并排出清澈，黄色的液体，并在检查中与ICG进行对比，证实了淋巴系统的参与。
Although the lymphatic complications such as lymphocele sometimes occur after surgery for varicose veins, the lymphatic function of such patients has not been evaluated. In this case report, we present a case of lymphocele after ligation surgery for varicose vein. We also detected subclinical dysfunction in lower limb using indocyanine green (ICG) lymphography. A 76 year- old female underwent ligation surgery for right lower leg varicose vein, and she noticed the squashy lesion in the medial side of the right knee. Three years later, she consulted our clinic and we performed ICG lymphography. We observed dermal backflow around the mass, which indicated lymphatic dysfunction. After injecting additional ICG around the knee, we punctured and drained the clear, yellow fluid from the mass and it was contrasted with ICG during the examination and the involvement of the lymphatic system was proven.