自行车短裤式压缩服治疗继发性下肢淋巴水肿的效果。

IF 1.9 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Kazuyo Kamiyama, Akira Shinaoka, Yoshihiro Kimata
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引用次数: 0

摘要

背景:梯度压缩服是下肢淋巴水肿的标准治疗方法。然而,关于自行车短裤式压缩服的适应症、有效性和局限性的报道很少,这种压缩服仅提供大腿和下腹部近端局部压缩来治疗淋巴水肿。本初步研究旨在探讨使用自行车短裤式压缩服治疗下肢淋巴水肿的效果。方法和结果:我们回顾性分析了40例使用自行车短裤式压缩服治疗的肢体。主要终点是使用自行车短裤式压缩服装6个月后大腿(压缩区)和小腿(非压缩区)的体积变化。对照组是同一患者在穿着梯度压缩服装的相同时间段内的体积变化。淋巴水肿相关症状和患者主观评价的变化是次要终点。在分析的40个肢体中,33个肢体是早期病例,被国际淋巴学会分类为1期或更低。21个肢体有大腿或腹股沟淋巴水肿相关的疼痛和沉重。在使用自行车短裤式压缩服装6个月后,与同一时期使用梯度压缩服装相比,大腿体积显著减少。所有肢体的淋巴相关疼痛均有所改善。在淋巴管造影和放射治疗史上缺失后外侧通路的患者中,大腿容积改善明显较差。结论:与梯度压缩服相比,自行车短裤式压缩服可改善下肢继发性淋巴水肿的大腿体积和症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of Biker Shorts-Style Compression Garments for the Treatment of Secondary Lower Limb Lymphedema.

Background: Gradient compression garments are a standard treatment for lower limb lymphedema. However, few reports exist on the indications, effectiveness, and limitations of a biker shorts-style compression garment providing only proximal local compression of the thigh and lower abdomen for lymphedema treatment. This pilot study aimed to investigate the therapeutic effects of using biker shorts-style compression garments for lower limb lymphedema treatment. Methods and Results: We retrospectively analyzed 40 limbs that received treatment using biker shorts-style compression garments. The primary endpoint was the volume change in the thigh (compression region) and the lower leg (non-compression region) after 6 months of using biker shorts-style compression garments. The control was the volume change in the same patients during an equivalent time period when gradient compression garments were worn. Changes in lymphedema-related symptoms and patients' subjective comments were secondary endpoints. Of the 40 limbs analyzed, 33 limbs were early-stage cases classified as stage 1 or lower by the International Society of Lymphology. Twenty-one limbs had pain and heaviness associated with lymphedema in the thigh or groin. After 6 months of using biker shorts-style compression garments, there was a significant reduction in thigh volume compared to that after using gradient compression garments during the same period. Lymph-related pain improved in all limbs. Significantly poorer thigh volume improvement was observed in patients with a missing posterolateral pathway on lymphangiography and a history of radiation therapy. Conclusion: Compared to gradient compression garments, biker shorts-style compression garments may improve thigh volume and symptoms in lower limb secondary lymphedema.

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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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