Observational Study on Efficacy in Treatment by CDP Based on Severity of Lymphatic Function Using Elastic Stockings and by LVSEA Combined with Pre-post Operative the CDP for Lymphedema

• Hashimoto Kokichi

  Higashikanagawa Tosaki Acupuncture Clinic

• Tosaki Ayako

  Higashikanagawa Tosaki Acupuncture Clinic

• Matsuda Nanae

  Higashikanagawa Tosaki Acupuncture Clinic

• Maegawa Jiro

  Department of Plastic and Reconstructive Surgery, Yokohama City University School of Medicine

Bibliographic Information

Other Title

• リンパ管機能評価に基づき弾性ストッキングを使用した複合的理学療法（CDP）の観察研究─ CDP と前後にCDP を組合せたリンパ管吻合術の有用性の統計的考察─

Abstract

The research report on the long-term conservative treatment with compression bandage has not been found because of the difficulty for the patient to put the bandage on and to maintain the stable pressure with it. Meanwhile, the elasticstockings has characteristics such as stable compression and pressure gradient to put it on. This study is an observational study for the purpose of testing the efficacy and the limitations of the complex decongestive physiotherapy (CDP) based on a lymphatic function with the elastic stockings from the intensive drainage period and also the efficacy of the lymphaticovenous side-to-end anastomosis (LVSEA) combined with pre-and postoperative CDP by means of the change of the volume of the affected lower extremity. We evaluated the change in edema volume with the CDP for 44 patients with secondary lower extremity lymphedema through the Phase 1 to Phase 2 and also evaluated the change in treatment by LVSEA for 29 who underwent LVSEA among the 44 patients. The primary outcome measures are the rate of change by the reduction in affected limb volume (%) and the change of the volume before and after the treatment (ml). As for the rate of change in volume at Day 30 from initial visit in the period of intensive lymph drainage, it was 16.7% in the leg and 9.6% in the thigh. The rate of change in volume after / before LVSEA was 16.5%/19.8% in the leg and 10.6%/11.7% in the thigh. The use of the elastic stockings having stable compression and pressure gradient and the CDP adopted the severity of lymphatic function showed enough effects. It is July, 2013 from March, 2010 during the period targeted for the observation.

Journal

• The Japanese Journal of Phlebology

  The Japanese Journal of Phlebology 26 (3), 236-243, 2015

  Japanese Society of Phlebology

Keywords

• lymphedema
• complex decongestive physiotherapy
• elastic stockings
• lymphatic function
• lymphaticovenous anastomosis

Details

• CRID: 1390001204372895872
• NII Article ID: 130005094974
• DOI: 10.7134/phlebol.14-15
• ISSN: 21865523
• ISSN: 09157395
• Web Site: https://www.jstage.jst.go.jp/article/phlebol/26/3/26_14-15/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016062296
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed