[1]王燕妮,齐鸿燕,张学军.B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形的疗效探讨[J].临床小儿外科杂志,2019,18(03):221-224.[doi:10.3969/j.issn.1671-6353.2019.03.012]
　Wang Yanni,Qi Hongyan,Zhang Xuejun.Efficacy of mini-invasive negative pressure aspiration guided by B-ultrasound on limb lymphatic malformation in children[J].Journal of Clinical Pediatric Surgery,2019,18(03):221-224.[doi:10.3969/j.issn.1671-6353.2019.03.012]
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B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形的疗效探讨

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 第18卷 期数: 2019年03期 页码: 221-224 栏目: 论著 出版日期: 2019-03-25
Title:
Efficacy of mini-invasive negative pressure aspiration guided by B-ultrasound on limb lymphatic malformation in children
作者:
王燕妮1;  齐鸿燕1;  张学军2
1. 首都医科大学附属北京儿童医院烧伤整形科(北京市, 100045);
2. 首都医科大学附属北京儿童医院骨科(北京市, 100045)
Author(s):
Wang Yanni1;  Qi Hongyan1;  Zhang Xuejun2
1. Department of Burn and Plastic Surgery, Beijing Children’s Hospital, Capital Medical University(Beijing, 100045);
2. Department of Orthopaedics, Beijing Children’s Hospital, Capital Medical University(Beijing, 100045)
关键词:
超声检查; 外科手术/微创性; 抽吸; 淋巴管畸形; 治疗效果
Keywords:
Ultrasonography; Surgical Procedures/Minimally Invasive; Suction; Lymphatic Abnormalities; Treatment Outcome
分类号:
R729;R658;R654.7;R445.1
DOI:
10.3969/j.issn.1671-6353.2019.03.012
摘要:
目的 探讨B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形的临床疗效。方法 回顾性分析首都医科大学附属北京儿童医院2015年1月至2017年9月收治的12例肢体淋巴管畸形患儿临床资料，其中男7例，女5例，年龄3~13岁，平均年龄（6.38±2.85）岁。术前测量患肢肿物最明显处围度及健侧相同处围度。采用B超引导下微创负压抽吸技术进行治疗，术后均留置引流管并佩戴弹力套。术后测量肿物最明显处围度，将术前患侧围度分别与术前健侧围度及术后患侧围度进行对比。结果 本组病例切口均一期愈合。术前患侧围度与术前健侧围度比较差异有统计学意义（P<0.05），术后患侧围度与术前患侧围度比较差异有统计学意义（P<0.05），术后患侧围度与术前健侧围度比较差异无统计学意义（P>0.05）。平均随访（14.27±2.42）个月，12例患儿术后外观明显改善，无明显神经肌肉受损。结论 B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形整体效果良好。
Abstract:
Objective To research the efficacy of mini-invasive negative pressure aspiration under the guidance of B-ultrasound in the treatment of limb lymphatic malformations in children.Methods Twelve cases of limb lymphatic malformations between January 2015 and September 2017 were reviewed.There were 7 boys and 5 girls with an average age of (6.38±2.85)(3-11) years.The longest circumferences of affected limb as compared to healthy side were measured before operation.Operation was performed with mini-invasive negative pressure aspiration under the guidance of B-ultrasound.Drainage catheter and elastic suit were retained.Multiple comparisons were made among three groups.Results All wounds healed primarily.Statistically significant difference existed between preoperative circumferences at both sides (P<0.05).And there was statistically significant difference in side circumference between affected side and preoperative side circumference (P<0.05).No significant difference existed in side circumference between affected side and preoperative healthy side circumference (P>0.05).The postoperative follow-up period was (14.27±2.42) months.Overall appearances significantly improved.There was no injury of muscle,blood vessel or nerve.There was no recurrence.Conclusion B-ultrasonography guided mini-invasive negative pressure aspiration is effective and mini-invasive for limb lymphatic malformations in children.

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备注/Memo

收稿日期:2018-03-28。
基金项目:国家科技部国家重点研发项目（编号：2016YFC100800）
通讯作者:张学军,Email:zhang-x-j04@163.com

更新日期/Last Update: 1900-01-01