Godette Karen, Mondry Tammy E, Johnstone Peter A S
Radiation Oncology Department, Emory University School of Medicine, Atlanta, GA 30322, USA.
J Soc Integr Oncol. 2006 Winter;4(1):8-12.
Complete decongestive therapy (CDT; alternatively known as complete decongestive physiotherapy) is a treatment program for patients diagnosed with primary or secondary lymphedema. CDT incorporates manual lymphatic drainage (MLD), a technique involving therapeutic manipulation of the affected limb. There are several contraindications to performing CDT. Relative contraindications include hypertension, paralysis, diabetes, and bronchial asthma. General contraindications include acute infections of any kind and congestive heart failure. Malignant disease is also widely considered a general contraindication; a current vogue concept is that MLD will lead to dissemination and acceleration of cancer. However, cancer research supports the contention that this therapy does not contribute to spread of disease and should not be withheld from patients with metastasis. The intent of this article is to review these data.
完全消肿疗法（CDT；也称为完全消肿物理疗法）是一种针对被诊断患有原发性或继发性淋巴水肿患者的治疗方案。CDT包含手动淋巴引流（MLD），这是一种涉及对患肢进行治疗性手法操作的技术。进行CDT有多种禁忌症。相对禁忌症包括高血压、瘫痪、糖尿病和支气管哮喘。一般禁忌症包括任何类型的急性感染和充血性心力衰竭。恶性疾病也被广泛视为一般禁忌症；当前一种流行的观念是MLD会导致癌症扩散和加速。然而，癌症研究支持这样的观点，即这种疗法不会导致疾病传播，对于有转移的患者不应停止使用。本文的目的是对这些数据进行综述。
