상피성 임파부종 환자의 치료

• 영문명: Treatment of Patients With Elephantiasis Lymphedema - Case Report -
• 발행기관: 한국전문물리치료학회
• 저자명: 김성중(Kim Seng-jung)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제6권 제3호, 110~120쪽, 전체 11쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 1999.09.30

영문 초록

Lymphedema, regardless of etiology, is essentially incurable but different treatment approaches which serve to contain swelling exist. The objectives of treatment are to reduce swelling, restore shape, educate about the self-maintenance methods, and prevent inflammatory episodes, eg, recurrent cellulitis. The purpose of this report is to provide therapists and other medical staff with a general guideline through the example treatment procedure of two patients with lymphedema admitted to Samsung Medical Center. This study demonstrates the effects of the various treatments used and how they helped to achieve improvement in mobility and reduction in swelling of the lower limbs. The basic conservative treatments were sequential intermittent pneumatic pumps, elevation, and CDP (complex decongestive physiotherapy). The surgical procedures (Homan's operation) were carried out after maximal volume reduction through conservative programs. In these cases, we can see greater than 50% reduction in the lymphedema in those treated by conservative and surgical procedures. This presents a simple, reliable, variable method yielding satisfactory cosmetic and functional results for patients suffering from chronic both-leg lymphedema. Futhermore, I suggest that the outcomes are best when treatment is administered by a multidisciplinary team including a physiotherapist, surgeon, nurse, et al.

목차

Abstract

Ⅰ. 서론

Ⅱ. 증례

Ⅲ. 고찰

Ⅳ. 결론

인용문헌

키워드

Lymphedema Complex decongestive physiotherapy Homan's operation