Lymphatic Mapping with Multi-Lymphosome Indocyanine Green Lymphography in Legs with Lymphedema.

IF 1.3 Q3 SURGERY Archives of Plastic Surgery-APS Pub Date : 2024-09-17 eCollection Date: 2024-11-01 DOI:10.1055/a-2375-8153
Hisako Hara, Makoto Mihara
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Abstract

It is observed that the locations of the most functional lymphatic vessels in the lymphedematous limbs can differ significantly from those in healthy limbs. The aim of this study was to elucidate the lymphatic map of lymphedematous limbs. We retrospectively analyzed 59 patients (118 limbs) with lower limb lymphedema. Fifty-five were women and four were men. The mean age and duration of lymphedema was 62.4 and 7.7 years, respectively. For the lateral thigh lymphosome, we injected indocyanine green (ICG) at the lateral knee and measured the distance (Dt) between the anterior superior iliac spine (ASIS) and the point where the lymphatic vessels crossed the reference line (the line connecting the ASIS and the patellar center). For the lateral calf lymphosome, we injected ICG at the lateral ankle and measured the distance (Dc) between the inferior patellar border and the point where the lymphatic vessels crossed the reference line (the anterior border of the tibia). In the lateral thigh, the mean Dt was 30.4 ± 0.6 cm (range, 0-41 cm) and the distribution peaked at approximately 30 cm from the ASIS. In the calf, the mean Dc was 13.1 ± 0.9 cm (range, -11 to 32 cm). The distribution of lymphatic vessel locations was highly variable. We could establish the lymphatic map in the lymphedematous legs. The distribution of lymphatic vessels in the thigh and lower legs had one and two peaks, respectively.

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利用多淋巴体吲哚菁绿淋巴造影术为淋巴水肿腿部绘制淋巴图。
据观察,淋巴水肿肢体中功能最强大的淋巴管位置与健康肢体的淋巴管位置有很大不同。本研究旨在阐明淋巴水肿肢体的淋巴管图。我们对 59 名下肢淋巴水肿患者(118 个肢体)进行了回顾性分析。其中 55 人为女性,4 人为男性。淋巴水肿的平均年龄和持续时间分别为 62.4 岁和 7.7 年。对于大腿外侧淋巴体,我们在膝关节外侧注射吲哚菁绿(ICG),然后测量髂前上棘(ASIS)与淋巴管交叉参考线(连接髂前上棘与髌骨中心的线)之间的距离(Dt)。对于小腿外侧淋巴体,我们在外侧脚踝处注射 ICG,测量髌骨下缘与淋巴管穿过参考线(胫骨前缘)的点之间的距离(Dc)。在大腿外侧,平均 Dt 为 30.4 ± 0.6 厘米(范围为 0-41 厘米),在距 ASIS 约 30 厘米处达到峰值。在小腿,平均 Dc 为 13.1 ± 0.9 厘米(范围:-11 至 32 厘米)。淋巴管位置的分布变化很大。我们可以在淋巴水肿的腿部绘制淋巴地图。淋巴管在大腿和小腿的分布分别有一个和两个高峰。
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来源期刊
CiteScore
2.10
自引率
6.70%
发文量
131
审稿时长
10 weeks
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