综合消肿疗法治疗妇科恶性肿瘤术后下肢淋巴水肿的临床疗效观察
发布时间：2018-10-13 09:26
【摘要】：目的:探讨综合消肿疗法(Complex Decongestion Therapy,CDT)治疗妇科恶性肿瘤术后单侧下肢淋巴水肿的疗效以及其对生活质量的影响。材料与方法:自2016年1月起,共收治妇科恶性肿瘤术后引起的单侧下肢淋巴水肿患者42例,其中包括子宫内膜癌24例,子宫颈癌10例和卵巢癌8例;按照健患侧下肢周径的差异,将患者分为3组:轻度组18例,中度组14例,重度组10例。所有患者均被给予CDT治疗,每天一次,20天为一个疗程,共治疗2个疗程,并嘱咐同一医护人员用同一规格的卷尺测量CDT治疗前后的患肢周径来观察疗效。结果:1.经过2周期的CDT治疗后,所有患者下肢水肿的周径值均低于治疗前(P0.05)。2.随访1年时间内观察患者治疗情况,均未见明显复发及加重。在3组中,中、重度水肿组均较轻度水肿组下降明显,且重度水肿组最为明显。3.所有患者治疗后各项生活质量指标评分均较治疗前提高(P0.05)。结论:1.CDT是治疗妇科恶性肿瘤术后下肢淋巴水肿安全有效的治疗方法,且能够长期维持治疗效果。2.CDT适用于手术后各期下肢继发性淋巴水肿,包括重度淋巴水肿。3.CDT能够提高下肢淋巴水肿患者的生活质量。
[Abstract]:Objective: to investigate the effect of comprehensive detumescence therapy (Complex Decongestion Therapy,CDT) on unilateral lymphedema of lower extremity after operation of gynecological malignant tumor and its effect on quality of life. Materials and methods: from January 2016, 42 patients with unilateral lower limb lymphedema caused by gynecological malignant tumors were treated, including 24 cases of endometrial carcinoma, 10 cases of cervical cancer and 8 cases of ovarian cancer. The patients were divided into 3 groups according to the difference of the circumference of the healthy side of lower extremities: light group (18 cases), moderate group (14 cases) and severe group (10 cases). All patients were treated with CDT, once a day, 20 days as a course of treatment, a total of 2 courses of treatment, and told the same medical staff to measure the circumference of the affected limb with the same specification tape measure before and after CDT treatment to observe the curative effect. The result is 1: 1. After 2 cycles of CDT treatment, the circumference of edema in all patients was lower than that before treatment (P0.05). No recurrence or aggravation was found during the 1-year follow-up. In the three groups, severe edema group was significantly lower than that of mild edema group, and severe edema group was the most obvious. All patients after treatment of quality of life scores were higher than before treatment (P0.05). Conclusion: 1.CDT is a safe and effective method for the treatment of lower extremity lymphedema after operation for gynecological malignant tumors, and can maintain the therapeutic effect for a long time. 2.CDT is suitable for the treatment of secondary lymphedema of lower extremity after operation. Including severe lymphedema. 3.CDT can improve the quality of life in patients with lower extremity lymphedema.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.3
[Abstract]:Objective: to investigate the effect of comprehensive detumescence therapy (Complex Decongestion Therapy,CDT) on unilateral lymphedema of lower extremity after operation of gynecological malignant tumor and its effect on quality of life. Materials and methods: from January 2016, 42 patients with unilateral lower limb lymphedema caused by gynecological malignant tumors were treated, including 24 cases of endometrial carcinoma, 10 cases of cervical cancer and 8 cases of ovarian cancer. The patients were divided into 3 groups according to the difference of the circumference of the healthy side of lower extremities: light group (18 cases), moderate group (14 cases) and severe group (10 cases). All patients were treated with CDT, once a day, 20 days as a course of treatment, a total of 2 courses of treatment, and told the same medical staff to measure the circumference of the affected limb with the same specification tape measure before and after CDT treatment to observe the curative effect. The result is 1: 1. After 2 cycles of CDT treatment, the circumference of edema in all patients was lower than that before treatment (P0.05). No recurrence or aggravation was found during the 1-year follow-up. In the three groups, severe edema group was significantly lower than that of mild edema group, and severe edema group was the most obvious. All patients after treatment of quality of life scores were higher than before treatment (P0.05). Conclusion: 1.CDT is a safe and effective method for the treatment of lower extremity lymphedema after operation for gynecological malignant tumors, and can maintain the therapeutic effect for a long time. 2.CDT is suitable for the treatment of secondary lymphedema of lower extremity after operation. Including severe lymphedema. 3.CDT can improve the quality of life in patients with lower extremity lymphedema.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.3
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