Application of Cohesive Compression Bandage Enswathement Combined Closed Drainage via Wound on Treatment for Groin Lymphatic Fistula_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

王雷永 ¹ , 李晓广 ¹ , 朱岩 ¹ , 霍小森 ¹ , 季锋 ¹ , 李震 ¹ , 汪忠镐 ^1,2

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Keywords：

腹股沟; 淋巴瘘; 加压包扎疗法; 并发症

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目的探讨改良的局部加压包扎法治疗腹股沟区切口淋巴瘘的疗效。方法2005年12月至2010年11月期间对10例腹股沟区切口淋巴瘘患者采用弹力绷带持续加压包扎，同时切口放置闭式引流装置进行治疗。结果全部患者切口经加压包扎后淋巴液均明显减少，经持续加压包扎3~20 d（平均7.2 d）后获临床治愈; 其中1例患者于加压包扎后第4天出现下肢股浅静脉血栓，经及时溶栓和抗凝治疗后好转。本组患者随访1~59个月（平均14.7个月），10例患者切口均一期愈合，无下肢淋巴水肿发生。结论弹力绷带加压包扎结合切口闭式引流治疗腹股沟区切口淋巴瘘疗效显著，该方法简单、安全，值得临床推广应用。

Citation： 王雷永,李晓广,朱岩,霍小森,季锋,李震,汪忠镐. Application of Cohesive Compression Bandage Enswathement Combined Closed Drainage via Wound on Treatment for Groin Lymphatic Fistula. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(9): 997-998. doi: Copy

1.	陆信武, 蒋米尔. 血管手术后腹股沟部淋巴瘘的原因和防治 [J]. 外科理论与实践, 2002, 7(3): 218220.
2.	Tyndall SH, Shepard AD, Wilczewski JM, et al. Groin lymphatic complications after arterial reconstruction [J]. J Vasc Surg, 1994， 19(5): 858864.
3.	Pedersen G, Laxdal E, Hagala M, et al. Local infections after aboveknee prosthetic femoropopliteal bypass for intermittent claudication [J]. Surg Infect (Larchmt), 2004， 5(2): 174179.
4.	Ploeg AJ, Lardenoye JW, Peeters MP, et al. Wound complications at the groin after peripheral arterial surgery sparing the lymphatic tissue: a doubleblind randomized clinical trial [J]. Am J Surg, 2009, 197(6): 747751.
5.	陈中皓, 龚亦群, 吕杰捷. 纤维蛋白封闭剂预防血管外科手术并发腹股沟淋巴瘘的回顾性分析 [J]. 上海医药, 2004, 25(8): 361362.
6.	周兴立, 陈翠菊, 郭曙光, 等. 超声消融治疗下肢深静脉血栓形成及术后并发腹股沟部淋巴瘘原因探讨 [J]. 中国普通外科杂志, 2004, 13(1): 911.
7.	郑晓兵, 冉峰, 刘长建. 泛影葡胺胶缓释剂预防腹股沟区血管手术后切口淋巴瘘 [J]. 第二军医大学学报, 2007, 28(9): 10241025.
8.	刘丹, 方海龙, 刘华. 大隐静脉高位结扎及剥脱术后腹股沟切口淋巴瘘临床分析及文献回顾 [J]. 中国普外基础与临床杂志, 2010, 17(12): 13121313.
9.	Hackert T, Werner J, Loos M, et al. Successful doxycycline treatment of lymphatic fistulas: report of five cases and review of literature [J]. Langebecks Arch Surg, 2006, 391(4): 435438.
10.	刘静, 邹耀强, 周天保. 3例大隐静脉曲张术后淋巴漏的诊治体会 [J]. 中国普外基础与临床杂志, 2002, 9(4): 271.
11.	Hamed O, Muck PE, Smith JM, et al. Use of vacuumassisted closure (VAC) therapy in treating lymphatic complications after vascular procedures: new approach for lymphoceles [J]. J Vasc Surg, 2008, 48(6): 15201523.
12.	Lemaire V, Brilmaker J, Kerzmann A, et al. Treatment of a groin lymphatic fistula with negative pressure wound therapy [J]. Eur J Vasc Endovasc Surg, 2008, 36(4): 449451.
13.	Abai B, Zickler RW, Pappas PJ, et al. Lymphorrhea responds to negative pressure wound therapy [J]. J Vasc Surg, 2007, 45(3): 610613.
14.	Argenta LC, Morykwas MJ, Marks MW, et al. Vacuumassisted closure: state of clinic art [J]. Plast Reconstr Surg, 2006, 117(7 Suppl): 127S142S.
15.	Steenvoorde P, Slotema E, Adhin S, et al. Deep infection after ilioinguinal node dissection: vacuumassisted closure therapy? [J]. Int J Low Extrem Wounds, 2004, 3(4): 223226.

1. 陆信武, 蒋米尔. 血管手术后腹股沟部淋巴瘘的原因和防治 [J]. 外科理论与实践, 2002, 7(3): 218220.
2. Tyndall SH, Shepard AD, Wilczewski JM, et al. Groin lymphatic complications after arterial reconstruction [J]. J Vasc Surg, 1994， 19(5): 858864.
3. Pedersen G, Laxdal E, Hagala M, et al. Local infections after aboveknee prosthetic femoropopliteal bypass for intermittent claudication [J]. Surg Infect (Larchmt), 2004， 5(2): 174179.
4. Ploeg AJ, Lardenoye JW, Peeters MP, et al. Wound complications at the groin after peripheral arterial surgery sparing the lymphatic tissue: a doubleblind randomized clinical trial [J]. Am J Surg, 2009, 197(6): 747751.
5. 陈中皓, 龚亦群, 吕杰捷. 纤维蛋白封闭剂预防血管外科手术并发腹股沟淋巴瘘的回顾性分析 [J]. 上海医药, 2004, 25(8): 361362.
6. 周兴立, 陈翠菊, 郭曙光, 等. 超声消融治疗下肢深静脉血栓形成及术后并发腹股沟部淋巴瘘原因探讨 [J]. 中国普通外科杂志, 2004, 13(1): 911.
7. 郑晓兵, 冉峰, 刘长建. 泛影葡胺胶缓释剂预防腹股沟区血管手术后切口淋巴瘘 [J]. 第二军医大学学报, 2007, 28(9): 10241025.
8. 刘丹, 方海龙, 刘华. 大隐静脉高位结扎及剥脱术后腹股沟切口淋巴瘘临床分析及文献回顾 [J]. 中国普外基础与临床杂志, 2010, 17(12): 13121313.
9. Hackert T, Werner J, Loos M, et al. Successful doxycycline treatment of lymphatic fistulas: report of five cases and review of literature [J]. Langebecks Arch Surg, 2006, 391(4): 435438.
10. 刘静, 邹耀强, 周天保. 3例大隐静脉曲张术后淋巴漏的诊治体会 [J]. 中国普外基础与临床杂志, 2002, 9(4): 271.
11. Hamed O, Muck PE, Smith JM, et al. Use of vacuumassisted closure (VAC) therapy in treating lymphatic complications after vascular procedures: new approach for lymphoceles [J]. J Vasc Surg, 2008, 48(6): 15201523.
12. Lemaire V, Brilmaker J, Kerzmann A, et al. Treatment of a groin lymphatic fistula with negative pressure wound therapy [J]. Eur J Vasc Endovasc Surg, 2008, 36(4): 449451.
13. Abai B, Zickler RW, Pappas PJ, et al. Lymphorrhea responds to negative pressure wound therapy [J]. J Vasc Surg, 2007, 45(3): 610613.
14. Argenta LC, Morykwas MJ, Marks MW, et al. Vacuumassisted closure: state of clinic art [J]. Plast Reconstr Surg, 2006, 117(7 Suppl): 127S142S.
15. Steenvoorde P, Slotema E, Adhin S, et al. Deep infection after ilioinguinal node dissection: vacuumassisted closure therapy? [J]. Int J Low Extrem Wounds, 2004, 3(4): 223226.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Cohesive Compression Bandage Enswathement Combined Closed Drainage via Wound on Treatment for Groin Lymphatic Fistula

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