Turk J Med Sci. 2019 Apr 18;49(2):610-616. doi: 10.3906/sag-1809-25.
BACKGROUND/AIM: The aim of this study is to present the results of modified combined decongestive therapy (CDT) in patients with lower extremity lymphedema (LEL).
We retrospectively reviewed 95 patients aged 55.84 ± 15.70 years who had been diagnosed with LEL between May 2015 and May 2017. The patients were treated for 4 weeks with modified CDT, including self-manual lymphatic drainage, self-bandaging, decongestive exercises, and skin care.
The mean reduction amounts of edema volume before and after treatment were 296.05, 784.92, and 1038.50 mL for stages 1, 2, and 3 respectively (P = 0.001). There were significant differences between the values before and after treatment in excess extremity volume (EEV) at all stages (P = 0.001). The EEV percentages of the secondary LEL patients were higher than those of the primary LEL patients (P = 0.04). There was no correlation between BMI and treatment response in terms of EEV percentages (r = –0.99; P = 0.36).
Our results revealed that home-based modified CDT is more effective in reducing extremity edema volume in secondary LEL than primary LEL. It should be an available method for self-management of LEL at all stages.
背景/目的：本研究旨在介绍改良联合减压疗法（CDT）在下肢淋巴水肿（LEL）患者中的治疗结果。
我们回顾性分析了 2015 年 5 月至 2017 年 5 月期间诊断为 LEL 的 95 例年龄为 55.84±15.70 岁的患者。这些患者接受了 4 周的改良 CDT 治疗，包括自我手动淋巴引流、自我绷带包扎、减压运动和皮肤护理。
治疗前后水肿体积的平均减少量分别为 1 期 296.05ml、2 期 784.92ml 和 3 期 1038.50ml（P=0.001）。所有阶段的过度肢体体积（EEV）治疗前后均有显著差异（P=0.001）。继发性 LEL 患者的 EEV 百分比高于原发性 LEL 患者（P=0.04）。BMI 与 EEV 百分比的治疗反应之间无相关性（r=-0.99；P=0.36）。
我们的结果表明，家庭为基础的改良 CDT 在减少继发性 LEL 肢体水肿方面比原发性 LEL 更有效。它应该是所有阶段 LEL 自我管理的一种有效方法。
