胸导管探查术后综合消肿治疗对双下肢淋巴水肿患者的短期效果

组织工程与重建外科杂志 ›› 2023, Vol. 19 ›› Issue (3): 249-.

胸导管探查术后综合消肿治疗对双下肢淋巴水肿患者的短期效果

出版日期:2023-06-01 发布日期:2023-07-05

Short-term effect of complex decongestion therapy on patients with lymphedema of both lower extremities after exploration of thoracic duct

Online:2023-06-01 Published:2023-07-05

摘要/Abstract

摘要：

目的　评估胸导管探查术后运用综合消肿治疗对双下肢淋巴水肿患者的治疗效果。方法　回顾 2018 年 10 月

至 2022 年 9 月就诊的 25 例双下肢淋巴水肿患者的临床资料。将胸导管探查术后行综合消肿治疗的患肢作为干预组，

未行综合消肿治疗的对侧肢体作为对照组。治疗前和治疗后第 7 天，测量肢体周径和进行人体成分分析。结果　患

肢行综合消肿治疗 7 d 后，患肢的小腿中下 1/3、小腿中上 1/3、大腿中下 1/3、大腿中上 1/3 测量点周径均明显减小

（P<0.05）；干预组小腿中下 1/3 和小腿中上 1/3 周径的变化率明显大于对照组（P<0.05）；与治疗前相比，对照组治

疗后节段细胞外水分含量变化差异无统计学意义（P>0.05），而干预组治疗后节段细胞外水分含量明显降低（P<0.05）。

结论　胸导管探查术后运用综合消肿治疗对双下肢淋巴水肿患者有良好的治疗效果。

关键词:

双下肢淋巴水肿 , 　综合消肿治疗 , 　人体成分分析 , 　节段细胞外水分含量

Abstract:

Objective To evaluate the effect of complex decongestion therapy on lymphedema of both lower extremities after

exploration of thoracic duct. Methods The clinical data of 25 patients with lymphedema of both lower extremities from October

2018 to September 2022 were reviewed. The patients received complex decongestion therapy after thoracic duct exploration were

taken as the intervention group, and the patients did not receive complex decongestion therapy after thoracic duct exploration

were taken as the control group.The peripheral diameter of affected limb and body composition analysis before and on the 7th day

after treatment were evaluated. Results After 7 days of complex decongestion therapy for the affected limb, the circumference

diameter of the 4 measuring points (the lower 1/3 of the lower leg, the upper 1/3 of the lower leg, the lower 1/3 of the thigh, and

the upper 1/3 of the thigh) on the affected limb decreased significantly (P<0.05). The change rate of the lower 1/3 and upper

1/3 of the lower leg circumference in the intervention group was significantly higher than that in the control group (P<0.05).

Compared with before treatment, there was no significant difference in extracellular water content in the control group after

treatment (P>0.05), while the extracellular water content in the intervention group was significantly decreased after treatment

(P<0.05). Conclusion Complex decongestion therapy after exploration of thoracic duct has a good effect on patients with

lymphedema of both lower extremities.

Key words:

Lymphedema of both lower extremities, 　Complex decongestion therapy, 　Body composition analysis, 　

Segmental extracellular water content

魏亚培　王婷婷　陈滢滢　张睿　郝昆.

胸导管探查术后综合消肿治疗对双下肢淋巴水肿患者的短期效果

[J]. 组织工程与重建外科杂志, 2023, 19(3): 249-.

WEI Yapei, WANG Tingting, CHEN Yingying, et al.

Short-term effect of complex decongestion therapy on patients with lymphedema of both lower extremities after exploration of thoracic duct [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2023, 19(3): 249-.