婦癌患者淋巴節摘除後下肢水腫的風險

The Risk Factor of Lower-extremity Lymphedema after Treatment of Gynecologic Malignancies

李耀泰(Yiu-Tai Li) ； 陳福民(Fu-Min Chen)郭宗正(Tsung-Cheng Kuo)

《中華民國婦癌醫學雜誌》 2013年2期 (2013/10) Pp. 34-38

摘要

淋巴水腫乃一種慢性、進行性之疾病，主發生在婦癌淋巴結摘除術後，由於感染、癌組織阻塞淋巴管、疤痕組織形成及血管沾黏等，導致局部循環減少，使含多量蛋白的液體累積在體表組織中所造成，臨床有下肢水腫、腳重、緊繃、疼痛等症狀。淋巴結切除後造成淋巴水腫的危險因子包含有：淋巴節摘取的數目多、放射線治療、術後感染、淋巴囊腫的產生、外陰癌根除手術和身材較瘦者等，能注意上述之危險因子，或可減少下肢水腫的發生率。

關鍵字

淋巴水腫 ； 淋巴結摘除 ； 婦科癌症

並列摘要

Lymphedema is a chronic, progressive condition in which protein-rich fluid accumulates in the superficial tissues of the body. It is generally cause due to infection, malignancy or scar tissue after lymphadenectomy, the effects of which include limb swelling and feelings of haviness, tightness, and pain. Therefore, prevention of lymphedema has become an important issue in the care of patients who undergo lymphadenectomy. The number of removed Iymphnodes, radiation, postoperative infection, lymphocyst formation, and removal of Iymphnodes in the groin region were all found to increase the incidence on the development of lower limb lymphedema.

並列關鍵字

lymphedema ； lymphadenectomy ； gynecologic malignancies