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间歇气动加压泵治疗乳腺癌相关淋巴水肿:一项随机对照试验的系统评价和荟萃分析。

Intermittent pneumatic compression pump for breast cancer-related lymphedema: a systematic review and meta-analysis of randomized controlled trials.

机构信息

Tianjin Medical University General Hospital, Tianjin, China.

出版信息

Oncol Res Treat. 2014;37(4):170-4. doi: 10.1159/000360786. Epub 2014 Mar 20.

Abstract

BACKGROUND

Breast cancer-related lymphedema (BCRL) is a common complication after the treatment of breast cancer. The objective of this study was to determine whether the use of an intermittent pneumatic pump (IPC) could manage lymphedema effectively.

METHODS

We searched PubMed, EMBASE, and the Cochrane Library for related trials to compare the percent of volume reduction and subjective symptoms.

RESULTS

7 randomized controlled trials, with 287 patients, were included. Results showed that the use of the IPC could alleviate lymphedema, but no significant difference between routine management of lymphedema with or without pneumatic pump existed.

CONCLUSION

Current trials fail to show the effectiveness of the addition of an IPC to the routine management of BCRL.

摘要

背景

乳腺癌相关淋巴水肿(BCRL)是乳腺癌治疗后的常见并发症。本研究旨在确定间歇性气动泵(IPC)的使用是否能有效治疗淋巴水肿。

方法

我们检索了 PubMed、EMBASE 和 Cochrane Library 中的相关试验,以比较体积减少百分比和主观症状。

结果

纳入了 7 项随机对照试验,共 287 例患者。结果表明,IPC 的使用可以缓解淋巴水肿,但在常规管理中是否使用气动泵之间没有显著差异。

结论

目前的试验未能显示在 BCRL 的常规管理中添加 IPC 的有效性。

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