Yamamoto Takumi, Matsuda Nana, Todokoro Takeshi, Yoshimatsu Hidehiko, Narushima Mitsunaga, Mihara Makoto, Uchida Gentaro, Koshima Isao
Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo, Bunkyo-ku, Tokyo, Japan.
Ann Plast Surg. 2011 Dec;67(6):637-40. doi: 10.1097/SAP.0b013e318208fd75.
Measurement of the circumference is the most commonly used method for evaluating extremity lymphedema. However, comparison between different patients is difficult with this measurement. To resolve this problem, we have formulated a new index, lower extremity lymphedema (LEL) index, which can be easily obtained from measurements of the body. We evaluated correlation between lower LEL index and clinical stage in patients with LEL. The LEL indices were significantly correlated with clinical stages and could be used as a severity scale. The LEL index makes objective assessment of the severity of lymphedema through a numerical rating, regardless of the body type. This numerical rating makes the index useful for evaluation of lymphedema severities between different cases.
测量周长是评估肢体淋巴水肿最常用的方法。然而，使用这种测量方法很难对不同患者进行比较。为了解决这个问题，我们制定了一种新的指标，即下肢淋巴水肿（LEL）指数，它可以通过身体测量轻松获得。我们评估了LEL指数与LEL患者临床分期之间的相关性。LEL指数与临床分期显著相关，可作为严重程度量表。LEL指数通过数字评分对淋巴水肿的严重程度进行客观评估，而不考虑体型。这种数字评分使该指数对于评估不同病例之间的淋巴水肿严重程度很有用。
