组织工程与重建外科杂志Issue(5)：310-312,3.DOI:10.3969/j.issn.1673-0364.2015.05.006
手法淋巴引流治疗乳腺癌术后上肢淋巴水肿
Manual Lymph Drainage for the Treatment of Upper Limb Lymphedema after Breast Cancer Treatment
摘要
Abstract
Objective To explore the effectiveness of manual lymph drainage (MLD) in the treatment of breast-cancer-related lymphedema. Methods From 2008 to 2012, 101 patients with unilateral arm lymphedema after mastectomy were enrolled and divided into three groups based on the circumferential difference (d) between lymphedematous and contralateral limbs prior to MLD:group A (d<1-2 cm), group B (5 cm≥d≥2 cm), group C (d>5 cm). After 1 course (15 days) of complex decongestive therapy (CDT):MLD+low elastic bandage, changes of limb circumference and tissue edema were measured and the differences between edema and non-edema arms after treatment were compared to evaluate edema reduction. Subjective feelings of each patient were recorded. Tissue edema were measured with multiple-frequency bioelectrical impedance analysis. Results After CDT treatment, significant reduction in circumference of the edematous limbs ( P<0.01) and edema fluid in tissue (P<0.01) were observed. Comparison of the reduction of excess tissue edema and limb circumference among 3 groups showed: group C>group B>group A (P<0.01). All patients were satisfied with the treatment. Conclusion Complex decongestive therapy is effective in treating lymphedema and improving physical appearance of the limb. The patients with more initial circumferential difference get better results in MLD.关键词
淋巴水肿/手法淋巴引流/乳腺癌Key words
Lymphedema/Manual lymph drainage/Breast cancer分类
医药卫生引用本文复制引用
陈佳佳,汪立,于子优,韩凌华,罗毅,刘宁飞..手法淋巴引流治疗乳腺癌术后上肢淋巴水肿[J].组织工程与重建外科杂志,2015,(5):310-312,3.基金项目
上海市重中之重临床医学中心，整形外科国家临床重点专科建设项目。 （）
