Medina-Rodríguez María Elena, de-la-Casa-Almeida María, González Martín Jesús, Hermida Anllo María, Medrano-Sánchez Esther M
General Hospital of Gran Canaria Dr. Negrin. Barranco de la Ballena s/n. Las Palmas de Gran Canaria, 35010 Las Palmas, Spain.
Department of Medical and Surgical Sciences, University of Las Palmas de Gran Canaria, Campus de San Cristóbal, 35016 Las Palmas, Spain.
J Clin Med. 2020 Jan 22;9(2):306. doi: 10.3390/jcm9020306.
Indocyanine green (ICG) lymphography is used to evaluate the lymphatic function before and after pneumatic compression or post-manual lymphatic drainage. The aim of this study was to ascertain the changes in the fluoroscopic pattern produced by the provision of complex physical therapy. This prospective analytic (pretest-posttest) study was conducted in 19 patients with upper lymphedema secondary to breast cancer. Nine patients were excluded due to ICG found after 3 weeks. The ICG patterns were analyzed under basal conditions and after three weeks of treatment. After the treatment, 45% of the patients presented tracer remains in the affected limb, and this finding was significantly related to time of the lymphedema development. In one subject, the patterns remain unchanged or cannot be defined. Three of the ten patients observed present the worsening of at least 1 of the patterns and in the rest of the subjects, six cases, the improvement of the patterns is observed. In 60% of the cases, the most severe pattern reversed towards slight (splash) cases, and moderate cases reversed towards a slight case in 70% of cases. Therefore, after treatment with complex physical therapy, the pathological patterns observed in the pretest, which evolved positively, reverted their severity toward milder disease patterns or towards normality.
吲哚菁绿（ICG）淋巴造影用于评估气压治疗或手动淋巴引流前后的淋巴功能。本研究的目的是确定提供综合物理治疗后荧光模式的变化。这项前瞻性分析（前测-后测）研究针对19例继发于乳腺癌的上肢淋巴水肿患者进行。由于3周后发现ICG，9例患者被排除。在基础条件下和治疗3周后对ICG模式进行分析。治疗后，45%的患者示踪剂残留在患肢，这一发现与淋巴水肿发展时间显著相关。在一名受试者中，模式保持不变或无法定义。观察的10名患者中有3名至少有1种模式恶化，其余6名受试者的模式有所改善。在60%的病例中，最严重的模式向轻微（飞溅）病例逆转，70%的中度病例向轻微病例逆转。因此，经过综合物理治疗后，前测中观察到的病理模式呈积极演变，其严重程度向较轻的疾病模式或正常状态逆转。
