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手法淋巴引流综合消肿疗法治疗盆腔恶性肿瘤根治术后下肢淋巴水肿

汪立 陈佳佳 于子优 韩凌华 孙笛 罗毅 刘宁飞

组织工程与重建外科杂志2016,Vol.12Issue(3):186-188,3.
组织工程与重建外科杂志2016,Vol.12Issue(3):186-188,3.DOI:10.3969/j.issn.1673-0364.2016.03.012

手法淋巴引流综合消肿疗法治疗盆腔恶性肿瘤根治术后下肢淋巴水肿

Complex Decongestion Therapy in Treating Lower Limb Lymphedema after Radical Operation of Pelvic Malignant ;Tumor

汪立 1陈佳佳 1于子优 1韩凌华 1孙笛 1罗毅 1刘宁飞1

作者信息

  • 1. 200011 上海市 上海交通大学医学院附属第九人民医院整复外科
  • 折叠

摘要

Abstract

Objective To explore the effectiveness of Complex Decongestion Therapy (CDT) in the treatment of lower limb lymphedema related to pelvic malignant tumor. Methods Since 2011, 76 patients with unilateral lower limb lymphedema after radical operation of pelvic tumors were treated, composed of 70 women after the operation of cervical cancer, endometrial cancer, ovarian cancer and 6 men after the operation of rectal cancer and prostate cancer. According to the circumference of edema, patients were divided into three groups: mild in 30 cases, moderate in 24 cases, severe in 22 cases. Each group accepted 1 treatment course (20 days). The result of CDT treatment was evaluated with measurement of circumference of extremities and Multiple-frequency bioelectrical impedance analysis. Results After 1 treatment course, all patients showed significant reduction in circumference of the edematous limbs (P<0.01) and edema fluid in tissue (P<0.01). The patients in severe group and moderate group showed more efficacy in water reduce. The patients in severe group showed more efficacy in circumference reduce. Conclusion Complex decongestive therapy is effective and safe to treat lower limb lymphedema after radical operation of pelvic tumor. It is also applied to each period of secondary lymphedema of lower limb after operation, including severe lymphedema.

关键词

淋巴水肿/手法淋巴引流/盆腔肿瘤根治手术/下肢水肿

Key words

Lymphedema/Manual lymph drainage/Radical operation of pelvic tumor/Lower limb lymphedema

分类

医药卫生

引用本文复制引用

汪立,陈佳佳,于子优,韩凌华,孙笛,罗毅,刘宁飞..手法淋巴引流综合消肿疗法治疗盆腔恶性肿瘤根治术后下肢淋巴水肿[J].组织工程与重建外科杂志,2016,12(3):186-188,3.

组织工程与重建外科杂志

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1673-0364

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