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从物理医学与康复专家的角度看淋巴水肿的诊断、治疗及随访

Lymphedema diagnosis, treatment, and follow-up from the view point of physical medicine and rehabilitation specialists.

作者信息

Borman Pınar

机构信息

Department of Physical Medicine and Rehabilitation, Medicine Faculty of Hacettepe University, Ankara, Turkey.

Hacettepe University Lymphedema Practice and Research Center, Ankara, Turkey.

出版信息

Turk J Phys Med Rehabil. 2018 Sep 3;64(3):179-197. doi: 10.5606/tftrd.2018.3539. eCollection 2018 Sep.

DOI:10.5606/tftrd.2018.3539
PMID:31453511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6657795/
Abstract

Lymphedema is an incurable, debilitating and progressive condition, leading to physical and psychosocial consequences for the patients, if left untreated. The Physical Medicine and Rehabilitation (PMR) specialist is responsible for the differential diagnosis and evaluation of the patient to tailor management and rehabilitation strategies. Therefore, the PMR specialist must have knowledge and education on the diagnosis of disease and possible complications as well as evaluation, treatment and follow-up of the patient. In this review, the pathophysiology, epidemiology, and diagnostic and therapeutic approaches of lymphedema as well as preventive strategies and follow-up strategies are discussed in the light of the current literature.

摘要

淋巴水肿是一种无法治愈、使人衰弱且呈进行性发展的病症，如果不进行治疗，会给患者带来身体和心理社会方面的后果。物理医学与康复（PMR）专科医生负责对患者进行鉴别诊断和评估，以制定管理和康复策略。因此，PMR专科医生必须具备疾病诊断、可能的并发症以及患者评估、治疗和随访方面的知识和教育。在本综述中，我们根据当前文献讨论了淋巴水肿的病理生理学、流行病学、诊断和治疗方法以及预防策略和随访策略。