TYPES OF LYMPHOSCINTIGRAPHY AND INDICATIONS FOR LYMPHATICOVENOUS ANASTOMOSIS
TYPES OF LYMPHOSCINTIGRAPHY AND INDICATIONS FOR LYMPHATICOVENOUS ANASTOMOSIS
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DOI：
10.1002/micr.20772
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发表时间：
2010-09-01
期刊：
影响因子：
2.1
通讯作者：
Kobayashi, Shinji
中科院分区：
文献类型：
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作者：
Maegawa, Jiro;Mikami, Taro;Kobayashi, Shinji
几位作者报道了淋巴管造影术的有用性和益处。然而，这不足以表明基于水肿的微血管治疗。在这里，我们提出了淋巴结造影类型和淋巴结显微手术指征之间的关系。对142例下肢继发性水肿患者术前行淋巴管造影。将获得的图像分为五种类型。I型：可见腹股沟淋巴结，沿隐静脉和/或侧支循环沿着循环。第二型：大腿皮肤回流，血管内同位素物质淤滞。III型：大腿和腿部皮肤回流。IV型：腿部皮肤回流。V型：足部残留放射性标记胶体。35条肢体行淋巴静脉吻合术。II型、III型、IV型和V型中每肢的平均吻合数分别为3.3、4.4、3.6和3。III型的吻合数最多。总之，与IV型和V型相比，III型是吻合术的最佳适应症。（c）2010 Wiley-Liss，Inc.显微外科30：437-442，2010。
Several authors have reported the usefulness and benefits of lymphoscintigraphy. However, it is insufficient to indicate microvascular treatment based on lymphedema. Here, we present the relationships between lymphoscintigraphic types and indications for lymphatic microsurgery. Preoperative lymphoscintigraphy was performed in 142 limbs with secondary lymphedema of the lower extremity. The images obtained were classified into five types. Type I: Visible inguinal lymph nodes, lymphatics along the saphenous vein and/or collateral lymphatics. Type II: Dermal backflow in the thigh and stasis of an isotopic material in the lymphatics. Type III: Dermal backflow in the thigh and leg. Type IV: Dermal backflow in the leg. Type V: Radiolabeled colloid remaining in the foot. Lymphaticovenous anastomosis was performed in 35 limbs. The average number of anastomoses per limb was 3.3 in type II, 4.4 in type III, 3.6 in type IV, and 3 in type V. The highest number of anastomosis was performed in type III. In conclusion, type III is suggested to be the best indication for anastomosis compared with types IV and V. (c) 2010 Wiley-Liss, Inc. Microsurgery 30:437-442, 2010.