淋巴管超声造影分级:继发性肢体淋巴水肿的相关研究及治疗建议。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Ping Fu, Jia Zhu, Zijie Liu, Shentao Zhang, Shahi Kishor, Li Chen, Zhengren Liu, Lili Zhang
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引用次数: 0

摘要

背景:各种方法被用于评估继发性肢体淋巴水肿,每种方法都有其局限性。目的:探讨一种新的淋巴分级方法,特别是利用增强超声来评估淋巴功能,在一定程度上弥补其他方法的不足。材料与方法:回顾性分析2022年6月至2023年9月51例继发性肢体淋巴水肿患者的临床及超声资料。研究了所有可见淋巴管的特征性超声表现。制定了淋巴管超声造影分级(us- clv),并应用于51例患者的分级。该研究还将Ceus-Clv与Campisi临床分期、术后持续时间和水肿持续时间联系起来。结果:51例患者中,Ceus-Clvⅰ型19例,Ceus-Clvⅱ型10例,Ceus-Clvⅲ型19例,Ceus-Clvⅳ型3例,其与Campisi临床分期的相关系数(rs)为0.958 (P < 0.001)。Ceus-Clv与术后持续时间的相关系数为0.824 (P < 0.001),与水肿持续时间的相关系数为0.763 (P < 0.001)。结论:eus- clv分级是一种安全、方便、有效的评估继发性肢体水肿患者淋巴管功能的方法。该方法能准确反映患者的淋巴管功能及水肿的严重程度,为继发性肢体水肿的治疗提供有价值的指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Contrast-enhanced Ultrasound Grading of Lymphatic Vessels: A Correlative Study and A Therapeutic Suggestion to Secondary Limb Lymphoedema.

Background: Various methods have been employed to evaluate secondary limb lymphedema, each with its own set of limitations.

Objectives: To delve into a novel approach to lymphatic grading, specifically utilizing enhanced ultrasound for assessing lymphatic function, to compensate for the shortcomings of other methods to some extent.

Materials and methods: The clinical and ultrasound data of 51 patients with secondary limb lymphedema from June 2022 to September 2023 were retrospectively analyzed. The characteristic ultrasound manifestations of all visualized lymphatic vessels were studied. A contrast-enhanced ultrasound grading of lymphatic vessels (Ceus-Clv) was formulated and applied to grade the 51 patients. The study also correlated Ceus-Clv with Campisi clinical stage, postoperative duration, and duration of edema.

Results: Out of 51 patients, there were 19 cases of Ceus-Clv I, 10 cases of Ceus-Clv II, 19 cases of Ceus-Clv III, and 3 cases of Ceus-Clv IV. The correlation coefficient (rs) between Ceus-Clv and Campisi clinical stages was 0.958 (P < 0.001). Similarly, the correlation coefficient between Ceus-Clv and postoperative duration was 0.824 (P < 0.001), and between Ceus-Clv and duration of edema was 0.763 (P < 0.001).

Conclusion: Ceus-Clv grading is a safe, convenient, and effective method for assessing lymphatic vessel function in secondary limb edema. This method can accurately reflect the patient's lymphatic vessel function and the severity of edema, providing valuable guidance for the treatment of secondary limb edema.

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来源期刊
CiteScore
2.60
自引率
0.00%
发文量
246
审稿时长
1 months
期刊介绍: Current Medical Imaging Reviews publishes frontier review articles, original research articles, drug clinical trial studies and guest edited thematic issues on all the latest advances on medical imaging dedicated to clinical research. All relevant areas are covered by the journal, including advances in the diagnosis, instrumentation and therapeutic applications related to all modern medical imaging techniques. The journal is essential reading for all clinicians and researchers involved in medical imaging and diagnosis.
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