Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema.
Effect of Postoperative Compression Therapy on the Success of Liposuction in Patients with Advanced Lower Limb Lymphedema.
复制标题
DOI：
10.3390/jcm10214852
复制
发表时间：
2021-10-22
影响因子：
3.9
通讯作者：
Nagamatsu S
中科院分区：
文献类型：
--
作者：
Yoshida S;Koshima I;Imai H;Roh S;Mese T;Uchiki T;Sasaki A;Nagamatsu S
目的：目前有关肢体淋巴水肿吸脂术后护理的资料有限。这项回顾性研究的目的是确定阈值、压缩压力和其他导致抽脂治疗下肢淋巴水肿成功的因素。材料和方法：根据吸脂术后6个月分别采用丝袜加绷带压迫疗法(SB组)、单纯袜子压迫疗法(S组)和单纯绷带压迫疗法(B组)。按术后按压方法比较两组的术后按压情况及改善率。我们还调查了6个月后是否有可能降低压缩压力。如果改善率为15，则认为吸脂成功。结果：S组的平均压缩压显著低于SB组和B组。SB组的抽脂成功率明显高于B组和S组。在成功组中，吸脂术后6个月和压缩压力降低后6个月的值之间没有显著差异。结论：稳定的术后高压压迫治疗是抽脂治疗小腿淋巴水肿成功的关键，同时使用袜子和绷带效果最好。抽脂成功所需的术后压缩压力小腿为40毫米汞，大腿为20毫米汞。这些压力在6个月后可能会降低。
Objective: There is limited information on postoperative care after liposuction for lymphedema limb. The aim of this retrospective study was to identify the threshold compression pressure and other factors that lead liposuction for lower limb lymphedema to success. Materials and Methods: Patients were divided according to whether they underwent compression therapy with both stockings and bandaging (SB group), stockings alone (S group), or bandaging alone (B group) for 6 months after liposuction. The postoperative compression pressure and rate of improvement were compared according to the postoperative compression method. We also investigated whether it was possible to decrease the compression pressure after 6 months. Liposuction was considered successful if improvement rate was >15. Results: Mean compression pressure was significantly lower in the S group than in the SB group or B group. The liposuction success rate was significantly higher in the SB group than in the B group or S group. There was not a significant difference between the values at 6 months after liposuction and at 6 months after a decrease in compression pressure in the successful group. Conclusion: Our results suggest that stable high-pressure postoperative compression therapy is key to the success of liposuction for lower limb lymphedema and is best achieved by using both stockings and bandages. The postoperative compression pressure required for liposuction to be successful was >40 mmHg on the lower leg and >20 mmHg on the thigh. These pressures could be decreased after 6 months.
登录
查看更多内容
影响因子：
9
作者：
Granoff, Melisa D.;Johnson, Anna Rose;Singhal, Dhruv
通讯作者：
Singhal, Dhruv
DOI：
10.1111/j.1524-4725.1988.tb03465.x
发表时间：
1988-10-01
期刊：
JOURNAL OF DERMATOLOGIC SURGERY AND ONCOLOGY
影响因子：
--
作者：
COLEMAN, WP
通讯作者：
COLEMAN, WP
影响因子：
--
作者：
EDWARDS, JM;KINMONTH, JB
通讯作者：
KINMONTH, JB
影响因子：
51.1
作者：
DiSipio, Tracey;Rye, Sheree;Hayes, Sandi
通讯作者：
Hayes, Sandi
影响因子：
--
作者：
Cooper, Garry
通讯作者：
Cooper, Garry