诊断下腹部和生殖器区域的淋巴水肿和主观症状。

IF 1.9 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Lymphatic research and biology Pub Date : 2024-12-01 Epub Date: 2024-09-24 DOI:10.1089/lrb.2024.0032
Hisako Hara, Makoto Mihara
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引用次数: 0

摘要

背景:下腹部和生殖器的淋巴水肿不易察觉,也没有成熟的诊断方法。在本研究中,我们使用四种检查方法对其进行了评估。方法我们对 25 名腿部淋巴水肿患者进行了评估,将腹部和生殖器分为四个区域(右侧和左侧、上部和下部)。平均年龄为 58.6 岁。在淋巴管造影和吲哚菁绿(ICG)淋巴造影中,如果观察到真皮回流,我们就诊断为淋巴水肿。13 名患者接受了 ICG 淋巴造影检查。在超声波检查中,当观察到鹅卵石状图案时,我们就确定了水肿的存在。我们还测量了皮下脂肪厚度。患者的主观症状是通过访谈确定的。我们对各项检查结果进行了比较。结果根据淋巴管造影、ICG 淋巴造影、超声波造影和主观症状得出的淋巴水肿阳性率分别为 45.0%、42.3%、8.0% 和 34.0%。在接受了所有检查的 13 名患者中,有 2 名患者主诉在检查中未显示异常的部位出现了水肿的主观症状。相比之下,25 名患者中有 14 名患者尽管在至少一项检查中出现异常,但他们没有出现主观症状的部位。有主观水肿症状的患者往往上腹部和下腹部的腹部脂肪较薄,但没有观察到显著差异。结论在下腹部和生殖器淋巴水肿的主观症状和检查中,观察到水肿阳性率存在很大差异。确定哪种检查方法最好并不重要,重要的是结合多种检查方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnosis of Lymphedema and Subjective Symptoms in the Lower Abdomen and Genital Region.

Background: Lymphedema in the lower abdomen and genitals is unnoticeable and has no established diagnostic methods. In this study, we evaluated it using four examinations. Methods: We evaluated 25 patients with lymphedema in the legs, dividing the abdomen and genitals in four areas (right and left, upper and lower). The mean age was 58.6 years. In lymphoscintigraphy and indocyanine green (ICG) lymphography, we diagnosed lymphedema when dermal backflow was observed. ICG lymphography was performed in 13 patients. In ultrasonography, we determined the presence of edema when cobblestone pattern was observed. Subcutaneous fat thickness was also measured. The patients' subjective symptoms were identified on an interview. We compared the results among the examinations. Results: The positivity rates for lymphedema based on lymphoscintigraphy, ICG lymphography, ultrasonography, and subjective symptoms were 45.0%, 42.3%, 8.0%, and 34.0%, respectively. Two of the 13 patients who underwent all examinations complained of subjective symptoms of edema in areas that showed no abnormalities in the examinations. In contrast, 14 of the 25 patients had areas where they had no subjective symptoms despite having abnormalities in at least one of the tests. Those with subjective symptoms of edema tended to have thinner abdominal fat in both the upper and lower abdomen, but no significant difference was observed. Conclusion: Large differences were observed in the positive rate of edema in subjective symptoms and examinations of lymphedema in the lower abdomen and genitals. It is not important to determine which examination is best but rather to combine multiple examinations.

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来源期刊
Lymphatic research and biology
Lymphatic research and biology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.10
自引率
7.10%
发文量
85
审稿时长
>12 weeks
期刊介绍: Lymphatic Research and Biology delivers the most current peer-reviewed advances and developments in lymphatic biology and pathology from the world’s leading biomedical investigators. The Journal provides original research from a broad range of investigative disciplines, including genetics, biochemistry and biophysics, cellular and molecular biology, physiology and pharmacology, anatomy, developmental biology, and pathology. Lymphatic Research and Biology coverage includes: -Vasculogenesis and angiogenesis -Genetics of lymphatic disorders -Human lymphatic disease, including lymphatic insufficiency and associated vascular anomalies -Physiology of intestinal fluid and protein balance -Immunosurveillance and immune cell trafficking -Tumor biology and metastasis -Pharmacology -Lymphatic imaging -Endothelial and smooth muscle cell biology -Inflammation, infection, and autoimmune disease
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