生物阻抗和上肢淋巴水肿指数在乳房切除术后综合征淋巴水肿诊断中的应用

V. F. Baytinger, Y. Samoilova, O. S. Kurochkina, Yu. V. Magay, O. Oleinik, A. V. Altukhova, Ia. O. Damdinova
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引用次数: 0

摘要

评估乳房切除术后水肿的方法:生物阻抗和上肢淋巴水肿指数(UEL 指数)是一种无创、高灵敏度和易行的诊断方法,适用于预测手术治疗的前景和分析水肿的动态变化。本研究旨在研究上肢淋巴水肿不同阶段的 UEL 指数指标和生物阻抗数据。材料和方法。研究纳入了 64 名乳房切除术后水肿患者,他们接受了生物阻抗、上肢周径测量和 UEL 指数计算。结果显示与对照组相比,淋巴水肿II期和III期患者的上肢淋巴水肿指数和表征液体成分的生物阻抗参数(肢体液体体积和细胞外液体与总液体体积之比)显著增加。上肢淋巴水肿指数和生物阻抗参数之间分别存在统计学意义上的显著相关性(R=0.41)和(R=0.49)。结论生物阻抗参数和上肢淋巴水肿指数值可以互换。这些方法在评估乳房切除术后水肿方面的可靠性和高灵敏度使我们能够获得在不同淋巴水肿阶段评估液体成分的量化标准。
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Bioimpedance and upper limb lymphedema index in the diagnosis of lymphedema in post-mastectomy syndrome
Methods for assessing post-mastectomy edema: bioimpedance and upper extremity lymphedema index (UEL index) are non-invasive, highly sensitive and easily feasible diagnostic methods, suitable for predicting the prospects of surgical treatment and analyzing the dynamics of edema. The purpose of the study was to study UEL index indicators and bioimpedance data at different stages of upper extremity lymphedema. Material and methods. The study included 64 patients with post-mastectomy edema who underwent bioimpedance, measurement of the circumference of the upper extremity and calculation of the UEL index. Results. The upper extremity lymphedema index and bioimpedance parameters (fluid volume in the limb and the ratio of extracellular fluid to total fluid volume) characterizing the liquid component significantly increased at stages II and III of lymphedema in comparison with the control group. a statistically significant correlation was revealed between the upper limb lymphedema index and bioimpedance parameters (R=0.41) and (R=0.49), respectively. Conclusion. Bioimpedance parameters and values of the upper extremity lymphedema index can be interchangeable. The reliability and high sensitivity of these methods for assessing post-mastectomy edema allows us to obtain quantitative criteria for evaluating the liquid component at different stages of lymphedema.
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来源期刊
Siberian journal of oncology
Siberian journal of oncology Medicine-Oncology
CiteScore
0.40
自引率
0.00%
发文量
117
审稿时长
8 weeks
期刊介绍: The main objectives of the journal are: -to promote the establishment of Russia’s leading worldwide positions in the field of experimental and clinical oncology- to create the international discussion platform intended to cover all aspects of basic and clinical cancer research, including carcinogenesis, molecular biology, epidemiology, cancer prevention, diagnosis and multimodality treatment (surgery, chemotherapy, radiation therapy, hormone therapy), anesthetic management, medical and social rehabilitation, palliative care as well as the improvement of life quality of cancer patients- to encourage promising young scientists to be actively involved in cancer research programs- to provide a platform for researches and doctors all over the world to promote, share, and discuss various new issues and developments in cancer related problems. (to create a communication platform for the expansion of cooperation between Russian and foreign professional associations).- to provide the information about the latest worldwide achievements in different fields of oncology The most important tasks of the journal are: -to encourage scientists to publish their research results- to offer a forum for active discussion on topics of major interest - to invite the most prominent Russian and foreign authors to share their latest research findings with cancer research community- to promote the exchange of research information, clinical experience, current trends and the recent developments in the field of oncology as well as to review interesting cases encountered by colleagues all over the world- to expand the editorial board and reviewers with the involvement of well-known Russian and foreign experts- to provide open access to full text articles- to include the journal into the international database- to increase the journal’s impact factor- to promote the journal to the International and Russian markets
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