Journal of Tissue Engineering and Reconstructive Surgery ›› 2023, Vol. 19 ›› Issue (3): 249-.

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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

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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:

Segmental extracellular water content