下肢リンパ管細静脈吻合術後に集中排液を行った症例の術後1年間の患肢体液量の変化と著効例の背景因子
書誌事項
- タイトル別名
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- Efficacy of Lymphaticovenular Anastomosis of the Leg Combined with Postoperative Treatment in Reducing Lymphedema during the First Year Following Surgery
抄録
<p> [Background]We examined the efficacy of lower limb lymphaticovenular anastomosis (LVA) combined with postoperative reduction treatment (PORT) in reducing lymphedema during the first postoperative year. <BR> [Methods]Female patients with unilateral leg lymphedema who had undergone leg LVA with 7 days of PORT were included. Patients were selected for whom body water volume data were available at six points in time: preoperatively; at discharge; and 1, 3, 6, and 12 months postoperatively. Patients were divided into two groups according to the change in postoperative water volume reduction in the affected leg: those with maintenance of body water volume below the preoperative level, termed as “maximum efficacy”, and those without. <BR> [Results]Of the 28 eligible cases, 14 demonstrated maximum efficacy with LVA. The first peak of water volume reduction in cases with maximum efficacy was at the time of discharge, with a transient regression observed following discharge. Thereafter, the water volume decreased, reapproaching the discharge value. Greater preoperative leg water volume was a common factor for cases with maximum efficacy (odds ratio: 3.351, 95% confidence interval: 1.215-9.240, p = 0.019) . <BR> [Conclusion]The leg water volume of LVA cases with maximum efficacy increased after discharge but returned to discharge values over the first postoperative year.</p>
収録刊行物
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- 日本マイクロサージャリー学会会誌
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日本マイクロサージャリー学会会誌 35 (3), 82-91, 2022
日本マイクロサージャリー学会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390012081165809024
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- ISSN
- 21859949
- 09164936
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- 抄録ライセンスフラグ
- 使用不可