Ingves Matthew V, Power Adam H
Western University, London, ON, Canada.
J Investig Med High Impact Case Rep. 2014 Nov 20;2(4):2324709614559839. doi: 10.1177/2324709614559839. eCollection 2014 Oct-Dec.
The treatment of leg edema often involves promoting venous blood flow but can be difficult in patients with comorbidities that prevent traditional management strategies such as limb elevation or mechanical compression devices. The geko device is a self-contained neuromuscular stimulation device that adheres to skin over the common peroneal nerve and delivers a low-voltage stimulus that activates the lower-leg musculature resulting in enhanced superficial femoral vein blood flow and velocity. Here we report 2 cases of multifactorial and refractory leg edema successfully treated with the geko device over a period of 4 to 16 weeks. The device also improved pain and chronic wound healing. Although the geko device is costly, it was well tolerated and may provide another treatment strategy for resistant leg swelling.
腿部水肿的治疗通常涉及促进静脉血流，但对于患有合并症而无法采用传统管理策略（如肢体抬高或机械压迫装置）的患者来说可能具有挑战性。壁虎（GEKO）装置是一种独立的神经肌肉刺激装置，可粘附于腓总神经上方的皮肤，并传递低电压刺激，激活小腿肌肉组织，从而增加股浅静脉血流和速度。在此，我们报告2例多因素难治性腿部水肿患者，使用壁虎装置治疗4至16周后取得成功。该装置还改善了疼痛和慢性伤口愈合情况。尽管壁虎装置成本高昂，但耐受性良好，可能为顽固性腿部肿胀提供另一种治疗策略。
