Department of Rehabilitation, Curie National Research Institute of Oncology (MSCNRIO), Warsaw, Poland.
Lymphat Res Biol. 2023 Dec;21(6):608-613. doi: 10.1089/lrb.2022.0079. Epub 2023 May 22.
The objective of this case series was to evaluate the effectiveness of wearing Mobiderm Autofit compressive garment as part of the complete decongestive therapy (CDT) of upper limb lymphedema. Ten women and men with stage II breast cancer-related lymphedema underwent a CDT intensive phase for 12 days, combining Mobiderm Autofit compression garment with manual lymphatic drainage. Arm volume was calculated with the truncated cone formula using circumferential measurements taken at each appointment. The pressure under the garment and the overall satisfaction of patients and physicians were also assessed. The mean (standard deviation [SD]) age of the patients was 60.50 (11.70) years. The mean (SD) lymphedema excess volume decrease was 343.11 (266.14) mL, which represents a 36.68% decrease between day 1 and day 12, whereas the mean (SD) absolute volume difference was 420.03 (251.27) mL corresponding to a 10.12% decrease during this same period. The mean (SD) device pressure by using the PicoPress was 30.01 (0.45) mmHg. The majority of patients were satisfied with the ease of use and the comfort of wearing Mobiderm Autofit. Such positive assessment was confirmed by the physicians. During this case series, no adverse event was reported. A lymphedema volume decrease of the upper limb was reported after 12 days of treatment with Mobiderm Autofit during the CDT intensive phase. Moreover, the device was well tolerated, and its use was appreciated by the patients and the physicians.
本病例系列的目的是评估在完整的消肿治疗(CDT)中使用 Mobiderm Autofit 加压服作为一部分来治疗上肢淋巴水肿的有效性。10 名患有 II 期乳腺癌相关淋巴水肿的男女患者接受了为期 12 天的 CDT 强化阶段治疗,将 Mobiderm Autofit 压缩服与手动淋巴引流相结合。使用截头圆锥公式,根据每次就诊时的圆周测量值计算手臂体积。还评估了服装下的压力以及患者和医生的整体满意度。患者的平均(标准差[SD])年龄为 60.50(11.70)岁。平均(SD)淋巴水肿过量体积减少为 343.11(266.14)mL,代表第 1 天和第 12 天之间减少了 36.68%,而平均(SD)绝对体积差异为 420.03(251.27)mL,这对应于同一时期减少了 10.12%。使用 PicoPress 的平均(SD)设备压力为 30.01(0.45)mmHg。大多数患者对 Mobiderm Autofit 的易用性和佩戴舒适性感到满意。医生也证实了这种积极的评估。在本病例系列中,未报告不良事件。在 CDT 强化阶段使用 Mobiderm Autofit 治疗 12 天后,上肢淋巴水肿的体积减少。此外,该设备耐受性良好,患者和医生都对此表示赞赏。