乳腺癌相关上肢淋巴水肿评估——物理测量方法与自我报告的比较。
Assessment of breast cancer-related arm lymphedema--comparison of physical measurement methods and self-report.
机构信息
Faculty of Health Sciences, University of Sydney, Sydney, Australia.
出版信息
Cancer Invest. 2010 Jan;28(1):54-62. doi: 10.3109/07357900902918494.
PURPOSE
To determine the relationship between physical methods of measuring lymphedema and self-reported swelling, their reliability, and standard error of measurement.
METHOD
Lymphedema in each arm of women with (n = 33) and without (n = 18) unilateral arm lymphedema, secondary to breast cancer was measured by self-report, bioimpedance spectroscopy (BIS), perometer, and the truncated cone method.
RESULTS
The physical measurement tools were highly reliable (ICC((2,1)): 0.94 to 1.00) with high concordance (r(c): 0.89 to 0.99). Self-report correlated moderately with physical measurements (r = 0.65 to 0.71) and was moderately reliable (ICC((2,1)): 0.70).
CONCLUSIONS
Lymphedema assessment methods are concordant and reliable but not interchangeable.
目的
确定测量淋巴水肿的物理方法与自我报告的肿胀之间的关系、它们的可靠性和测量标准误差。
方法
通过自我报告、生物阻抗光谱（BIS）、周径计和截头圆锥法，测量了 33 名患有（n = 33）和 18 名无（n = 18）单侧上肢淋巴水肿的乳腺癌继发上肢淋巴水肿妇女的每只手臂的淋巴水肿。
结果
物理测量工具具有高度可靠性（ICC((2,1))：0.94 至 1.00），高度一致性（r(c)：0.89 至 0.99）。自我报告与物理测量中度相关（r = 0.65 至 0.71），且具有中度可靠性（ICC((2,1))：0.70）。
结论
淋巴水肿评估方法具有一致性和可靠性，但不能互换使用。
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