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[乳房切除术后淋巴水肿的客观测量]

[Objective measurement of lymphedema after mastectomy].

作者信息

Göltner E, Fischbach J U, Mönter B, Kraus A, Vorherr H

出版信息

Dtsch Med Wochenschr. 1985 Jun 14;110(24):949-52. doi: 10.1055/s-2008-1068937.

DOI:10.1055/s-2008-1068937
PMID:3996237
Abstract

A new optic-electronic method for measuring arm volume was used on 275 women before and after mastectomy for carcinoma of the breast. Two weeks after modified radical mastectomy, an increase of over 150 ml in arm volume over the preoperative value was recorded in 12% of patients. Lymphoedema was demonstrated on average 19.3 months after the operation and telecobalt treatment in 42% of 200 women so treated; in 17% it was of moderately severe to severe degree (over 400 ml). In patients with severe lymphoedema a 15-day period of treatment reduced the oedema volume on average by 383 ml (62.1%). The described optic-electronic volumetric method makes it possible to obtain an objective comparison of swelling of the arm and thus early recognition and treatment of lymphoedema, as well as providing a means of assessing the effectiveness of any treatment.

摘要

一种用于测量手臂容积的新型光电方法被应用于275名乳腺癌患者乳房切除术前和术后。改良根治性乳房切除术后两周,12%的患者记录到手臂容积比术前值增加超过150毫升。平均在术后19.3个月出现淋巴水肿,200名接受治疗的女性中有42%接受了远距钴治疗;17%为中度至重度(超过400毫升)。在严重淋巴水肿患者中,15天的治疗期平均使水肿容积减少383毫升(62.1%)。所描述的光电容积测量方法使得能够对手臂肿胀进行客观比较,从而早期识别和治疗淋巴水肿,以及提供一种评估任何治疗效果的手段。

相似文献

1
[Objective measurement of lymphedema after mastectomy].[乳房切除术后淋巴水肿的客观测量]
Dtsch Med Wochenschr. 1985 Jun 14;110(24):949-52. doi: 10.1055/s-2008-1068937.
2
[Lymphedema after breast carcinoma. A study of 5868 cases].[乳腺癌后淋巴水肿。5868例病例研究]
Dtsch Med Wochenschr. 1997 Apr 25;122(17):536-41. doi: 10.1055/s-2008-1047650.
3
Postoperative lymphoedema after treatment of breast cancer.乳腺癌治疗后的术后淋巴水肿。
Acta Chir Scand. 1983;149(7):687-9.
4
Surgical outcomes after breast cancer surgery: measuring acute lymphedema.乳腺癌手术后的手术结果:测量急性淋巴水肿。
J Surg Res. 2001 Feb;95(2):147-51. doi: 10.1006/jsre.2000.6021.
5
Lymphoedema of the arm after primary treatment of breast cancer.乳腺癌初次治疗后手臂淋巴水肿。
Anticancer Res. 1998 May-Jun;18(3C):2235-6.
6
Assessment of breast cancer-related arm lymphedema--comparison of physical measurement methods and self-report.乳腺癌相关上肢淋巴水肿评估——物理测量方法与自我报告的比较。
Cancer Invest. 2010 Jan;28(1):54-62. doi: 10.3109/07357900902918494.
7
Postmastectomy lymphoedema. Treatment and a five-year follow-up study.乳房切除术后淋巴水肿。治疗与五年随访研究。
Int Angiol. 1999 Dec;18(4):294-8.
8
[Lymphedema of the arm after mastectomy--symptom of a recurrence?].[乳房切除术后手臂淋巴水肿——复发症状?]
Zentralbl Chir. 1984;109(7):479-82.
9
[Secondary lymphedema of the arm following primary therapy of breast carcinoma].[乳腺癌初次治疗后手臂继发性淋巴水肿]
Zentralbl Chir. 1992;117(4):220-5.
10
[Operative treatment of mamma carcinoma and its aftermath from the view of radiotherapist (author's transl)].从放射治疗师的角度看乳腺癌的手术治疗及其后果(作者译)
Med Klin. 1979 May 11;74(19):725-30.

引用本文的文献

1
SELF-REPORTED MANAGEMENT OF BREAST CANCER-RELATED LYMPHOEDEMA.乳腺癌相关淋巴水肿的自我报告管理
J Lymphoedema. 2007 Oct;2(2):12-21.