外周淋巴水肿治疗方法的研究进展
Research Progress on Treatment Methods for Peripheral Lymphedema
DOI: 10.12677/acm.2025.1582198, PDF,   
作者: 刘玄机:黑龙江中医药大学研究生院,黑龙江 哈尔滨;陈文阁*:黑龙江中医药大学附属第一医院周围血管病二科,黑龙江 哈尔滨
关键词: 外周淋巴水肿西医治疗中医治疗综述Peripheral Lymphedema Western Medicine Treatment Traditional Chinese Medicine Treatment Review
摘要: 外周淋巴水肿(Peripheral lymphedema)是一种常见的疾病,出现很难治愈,会长期影响患者的生理和心理健康,西医治疗以物理治疗,手术治疗为主,中医治疗包括中药外治、针灸、推拿、刺络拔罐等。本文查询相关文献对外周淋巴水肿进行综述。以期对周围淋巴水肿在未来的临床治疗有参考意义。
Abstract: Peripheral lymphedema is a common disease that is difficult to cure and can have long-term effects on patients’ physical and mental health. Western medical treatment mainly involves physical therapy and surgical treatment, while traditional Chinese medicine treatments include external application of Chinese herbal medicine, acupuncture, massage, and bloodletting with cupping. This article reviews relevant literature on peripheral lymphedema, with the aim of providing reference for the future clinical treatment of peripheral lymphedema.
文章引用:刘玄机, 陈文阁. 外周淋巴水肿治疗方法的研究进展[J]. 临床医学进展, 2025, 15(8): 59-64. https://doi.org/10.12677/acm.2025.1582198

参考文献

[1] Okajima, S., Hirota, A., Kimura, E., Inagaki, M., Tamai, N., Iizaka, S., et al. (2012) Health‐Related Quality of Life and Associated Factors in Patients with Primary Lymphedema. Japan Journal of Nursing Science, 10, 202-211. [Google Scholar] [CrossRef] [PubMed]
[2] Dean, S.M., Valenti, E., Hock, K., Leffler, J., Compston, A. and Abraham, W.T. (2020) The Clinical Characteristics of Lower Extremity Lymphedema in 440 Patients. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 8, 851-859. [Google Scholar] [CrossRef] [PubMed]
[3] Rockson, S.G., Keeley, V., Kilbreath, S., Szuba, A. and Towers, A. (2019) Cancer-Associated Secondary Lymphoedema. Nature Reviews Disease Primers, 5, Article No. 22. [Google Scholar] [CrossRef] [PubMed]
[4] Mortimer, P.S. and Rockson, S.G. (2014) New Developments in Clinical Aspects of Lymphatic Disease. Journal of Clinical Investigation, 124, 915-921. [Google Scholar] [CrossRef] [PubMed]
[5] Brorson, H., Ohlin, K., Olsson, G. and Nilsson, M. (2006) Adipose Tissue Dominates Chronic Arm Lymphedema Following Breast Cancer: An Analysis Using Volume Rendered CT Images. Lymphatic Research and Biology, 4, 199-210. [Google Scholar] [CrossRef] [PubMed]
[6] 汪立, 陈佳佳, 于子优, 等. 手法淋巴引流综合消肿疗法治疗盆腔恶性肿瘤根治术后下肢淋巴水肿[J]. 组织工程与重建外科杂志, 2016, 12(3): 186-188.
[7] Damstra, R.J. and Partsch, H. (2009) Compression Therapy in Breast Cancer-Related Lymphedema: A Randomized, Controlled Comparative Study of Relation between Volume and Interface Pressure Changes. Journal of Vascular Surgery, 49, 1256-1263. [Google Scholar] [CrossRef] [PubMed]
[8] Liu, N.F. and Olszewski, W. (1993) The Influence of Local Hyperthermia on Lymphedema and Lymphedematous Skin of the Human Leg. Lymphology, 26, 28-37.
[9] 张涤生, 干季良, 黄文义, 等. 烘绑疗法治疗肢体慢性淋巴水肿[J]. 医学研究通讯, 2004(10): 56-59.
[10] Franks, P.J. and Moffatt, C.J. (2015) Intermittent Pneumatic Compression Devices in the Management of Lymphedema. JAMA Dermatology, 151, 1181-1182. [Google Scholar] [CrossRef] [PubMed]
[11] 刘红霞. 空气波压力治疗仪用于乳腺癌患者术后的护理[J]. 现代中西医结合杂志, 2011, 20(35): 4557.
[12] Dunn, N., Williams, E.M., Dolan, G. and Davies, J.H. (2022) Intermittent Pneumatic Compression for the Treatment of Lower Limb Lymphedema: A Pilot Trial of Sequencing to Mimic Manual Lymphatic Drainage versus Traditional Graduated Sequential Compression. Lymphatic Research and Biology, 20, 514-521.
[13] Mackie, H., Suami, H., Thompson, B.M., Ngo, Q., Heydon-White, A., Blackwell, R., et al. (2022) Retrograde Lymph Flow in the Lymphatic Vessels in Limb Lymphedema. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 10, 1101-1106. [Google Scholar] [CrossRef] [PubMed]
[14] Karlsson, T., Karlsson, M., Ohlin, K., Olsson, G. and Brorson, H. (2022) Liposuction of Breast Cancer-Related Arm Lymphedema Reduces Fat and Muscle Hypertrophy. Lymphatic Research and Biology, 20, 53-63. [Google Scholar] [CrossRef] [PubMed]
[15] 郝昆, 孙宇光, 王仁贵, 等. 抽吸减容术治疗乳腺癌术后上肢淋巴水肿[J]. 组织工程与重建外科, 2024, 20(1): 69-74+82.
[16] Ramachandran, S., Chew, K., Tan, B. and Kuo, Y. (2021) Current Operative Management and Therapeutic Algorithm of Lymphedema in the Lower Extremities. Asian Journal of Surgery, 44, 46-53. [Google Scholar] [CrossRef] [PubMed]
[17] Yamamoto, T., Yamamoto, N., Yoshimatsu, H., Narushima, M. and Koshima, I. (2017) Factors Associated with Lymphosclerosis: An Analysis on 962 Lymphatic Vessels. Plastic & Reconstructive Surgery, 140, 734-741. [Google Scholar] [CrossRef] [PubMed]
[18] Grünherz, L., Barbon, C., von Reibnitz, D., Gousopoulos, E., Uyulmaz, S., Giovanoli, P., et al. (2024) Analysis of Different Outcome Parameters and Quality of Life after Different Techniques of Free Vascularized Lymph Node Transfer. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 12, Article ID: 101934. [Google Scholar] [CrossRef] [PubMed]
[19] Pappalardo, M., Patel, K. and Cheng, M. (2018) Vascularized Lymph Node Transfer for Treatment of Extremity Lymphedema: An Overview of Current Controversies Regarding Donor Sites, Recipient Sites and Outcomes. Journal of Surgical Oncology, 117, 1420-1431. [Google Scholar] [CrossRef] [PubMed]
[20] Grünherz, L., Barbon, C., Gousopoulos, E., Uyulmaz, S., Giovanoli, P. and Lindenblatt, N. (2023) PROMs after Lymphatic Reconstructive Surgery: Is There a Correlation between Volume Reduction and Quality of Life? Plastic and Reconstructive SurgeryGlobal Open, 11, e5020. [Google Scholar] [CrossRef] [PubMed]
[21] 赵辉, 王启堂, 于永政. 乳腺癌术后上肢淋巴水肿针灸治疗疗效观察[J]. 中国临床研究, 2012, 25(9): 918-919.
[22] 刘华玉. 艾灸穴位联合按摩预防乳腺癌术后患侧上肢淋巴水肿的研究[J]. 北方药学, 2013, 10(5): 73-74.
[23] 李然, 王宝成. 中医循经皮部推拿手法治疗妇科恶性肿瘤术后下肢淋巴水肿临床观察[J]. 中国中医药现代远程教育, 2025, 23(3): 117-119.
[24] 孙小虎, 付均如, 曹旭晨. 刺络放血结合走罐疗法治疗乳腺癌术后上肢重度淋巴水肿的临床观察[J]. 中国中西医结合外科杂志, 2017, 23(2): 167-170.