Schaverien Mark V, Moeller Julie A, Cleveland Sarah D
Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.
Department of Rehabilitation Services, University of Texas MD Anderson Cancer Center, Katy Regional Care Center, Houston, Texas.
Semin Plast Surg. 2018 Feb;32(1):17-21. doi: 10.1055/s-0038-1635119. Epub 2018 Apr 9.
Complex decongestive therapy is the mainstay of lymphedema (LE) therapy. It consists of two phases: an intensive volume reduction phase, principally involving low-stretch bandages and manual lymph drainage (MLD), followed by compression garment use to maintain the reduction achieved. Adjunctive treatments include the use of a sequential gradient pump, LE-specific exercises, skin and nail care, as well as risk-reduction precautions. Herein the techniques are described and the evidence for their effectiveness is reviewed.
综合消肿疗法是淋巴水肿（LE）治疗的主要方法。它包括两个阶段：一个强化的容积减少阶段，主要涉及低弹性绷带和手法淋巴引流（MLD），随后使用压力衣来维持所达到的消肿效果。辅助治疗包括使用序贯梯度泵、针对淋巴水肿的特定锻炼、皮肤和指甲护理以及降低风险的预防措施。本文将描述这些技术，并综述其有效性的证据。
