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外科研究与新技术(中英文) ›› 2026, Vol. 15 ›› Issue (3): 266-270.doi: 10.3969/j.issn.2095-378X.2026.03.015

• 综述 • 上一篇    下一篇

子宫内膜癌术后下肢淋巴水肿的危险因素及治疗进展

朱燕燕, 陈志芳, 朱滢钰, 昌文珺, 张金伟   

  1. 南京医科大学附属无锡人民医院/南京医科大学无锡医学中心/无锡市人民医院妇科,江苏 无锡 214000
  • 收稿日期:2025-01-10 出版日期:2026-09-28 发布日期:2026-09-30
  • 通讯作者: 陈志芳,电子信箱:1842406855@qq.com
  • 作者简介:朱燕燕(1995—),女,主管护师,从事临床妇科术后护理工作
  • 基金资助:
    无锡市科学技术协会软科学研究课题(KX-24-C217)

Progress on risk factors and treatment of lower limb lymphedema after endometrial cancer surgery

ZHU Yanyan, CHEN Zhifang, ZHU Yingyu, CHANG Wenjun, ZHANG Jinwei   

  1. Department of Gynecology, The Affiliated Wuxi People's Hospital of Nanjing Medical University/Wuxi Medical Center, Nanjing Medical University/People's Hospital of Wuxi City, Wuxi 214000, Jiangsu, China
  • Received:2025-01-10 Online:2026-09-28 Published:2026-09-30

摘要: 子宫内膜癌术后下肢淋巴水肿(LLL)为较常见的并发症,其主要的病征包括肢体无痛性肿胀、下肢沉重、紧绷感,严重影响患者的生活质量,增加患者的心理和经济负担。随着医学技术的进步,子宫内膜癌的存活率持续上升,患者希望能够在接受治疗后生活品质得到改善,故LLL的治疗工作显得尤其迫切。目前,治疗LLL的主要策略包括:非手术治疗(手法淋巴引流、综合消肿治疗、中医治疗、脉管平滑肌刺激)和手术治疗(淋巴管-静脉吻合术、血管化淋巴结移植术、病变组织切除术、吸脂术)。本文针对子宫内膜癌术后LLL的危险因素及中西医治疗研究现况进行综述。

关键词: 子宫内膜癌, 下肢淋巴水肿, 危险因素, 治疗

Abstract: Lower limb lymphedema (LLL) after endometrial cancer surgery is a common complication, and its main symptoms include painless swelling of the limbs, heavy lower limbs, and tension, which seriously affects the quality of life and increases the psychological and economic burden of patients. The advantage of medical technology has led a steady increase in the survival rate of endometrial cancer, with the expectation that patients will experience enhanced quality of life after receiving treatment, which underscore the urgent need for the treatment of LLL. The main strategies for the treatment of LLL include: nonoperative treatment (manual lymph drainage, complex decongestion therapy, traditional Chinese medicine therapy, and cellules musculaires lisses vasculaires) and surgical treatment (lymph venous anastomosis, vascularized lymph node transfer, resection of lesion tissue, and liposuction). This paper provided a comprehensive overview of the risk factors of LLL after endometrial cancer surgery and the treatment options of both traditional Chinese medicine and Western medicine.

Key words: Endometrial cancer, Lower limb lymphedema, Risk factors, Treatment

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