Lymphscintigraphic evaluation of manual lymphatic drainage for lower extremity lymphedema
Identifieur interne : 007F78 ( Main/Merge ); précédent : 007F77; suivant : 007F79Lymphscintigraphic evaluation of manual lymphatic drainage for lower extremity lymphedema
Auteurs : A. P. Kafejian-Haddad [Brésil] ; M. C. Janeiro Perez [Brésil] ; M. L. V. Castiglioni [Brésil] ; F. Jr Miranda [Brésil] ; L. F. Poli De Figueiredo [Brésil]Source :
- Lymphology [ 0024-7766 ] ; 2006.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Drainage.
English descriptors
- KwdEn :
Abstract
To evaluate the effect of manual lymphatic drainage on technetium-99m-labeled dextran (99mTcDx) transport, 16 patients with lymphedema of lower extremities underwent two lymphscintigraphy exams by injecting 99mTcDx intradermally into the first interdigital space of the affected extremity. The first was a control examination at rest followed by an examination which included a manual lymphatic drainage session after the injection of the 99mTcDx. Images were obtained 45 minutes and three hours after the injection of the radioisotope. Extremity volumes were also measured before and after the drainage session. The findings from the examinations were assessed in a quantitative, semiquantitative and qualitative manner and compared without and with drainage. The analyses of the extremities' circumference before and after the drainage by paired t-test revealed a significant decrease. The analyses of the quantitative, semi-quantitative and qualitative evaluations evidenced no significant difference, without or with drainage, within the 45-minute and three-hour periods. Thus, manual lymphatic drainage caused an effective reduction in the circumference of the extremities but did not have a significant effect in the transport of 99mTcDx.
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Janeiro Perez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Castiglioni, M L V" sort="Castiglioni, M L V" uniqKey="Castiglioni M" first="M. L. V." last="Castiglioni">M. L. V. Castiglioni</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Nuclear Medicine Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>3 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Miranda, F Jr" sort="Miranda, F Jr" uniqKey="Miranda F" first="F. Jr" last="Miranda">F. 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P." last="Kafejian-Haddad">A. P. Kafejian-Haddad</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Vascular Surgery Department. "ABC" Medical School, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>1 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Janeiro Perez, M C" sort="Janeiro Perez, M C" uniqKey="Janeiro Perez M" first="M. C." last="Janeiro Perez">M. C. Janeiro Perez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Castiglioni, M L V" sort="Castiglioni, M L V" uniqKey="Castiglioni M" first="M. L. V." last="Castiglioni">M. L. V. Castiglioni</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Nuclear Medicine Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>3 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Miranda, F Jr" sort="Miranda, F Jr" uniqKey="Miranda F" first="F. Jr" last="Miranda">F. Jr Miranda</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Vascular Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author><author><name sortKey="Poli De Figueiredo, L F" sort="Poli De Figueiredo, L F" uniqKey="Poli De Figueiredo L" first="L. F." last="Poli De Figueiredo">L. F. Poli De Figueiredo</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Experimental Surgery Department, "Universidade Federal de São Paulo" Medical School</s1><s2>Sâo Paulo</s2><s3>BRA</s3><sZ>5 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Sâo Paulo</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Lymphology</title><title level="j" type="abbreviated">Lymphology</title><idno type="ISSN">0024-7766</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bypass</term><term>Cardiovascular disease</term><term>Drainage</term><term>Lymphatic system</term><term>Lymphatic vessel disease</term><term>Lymphedema</term><term>Manuals</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Appareil circulatoire pathologie</term><term>Lymphatique pathologie</term><term>Lymphoedème</term><term>Manuel</term><term>Système lymphatique</term><term>Drainage</term><term>Dérivation</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Drainage</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To evaluate the effect of manual lymphatic drainage on technetium-99m-labeled dextran (<sup>99m</sup>TcDx) transport, 16 patients with lymphedema of lower extremities underwent two lymphscintigraphy exams by injecting <sup>99m</sup>TcDx intradermally into the first interdigital space of the affected extremity. The first was a control examination at rest followed by an examination which included a manual lymphatic drainage session after the injection of the <sup>99m</sup>TcDx. Images were obtained 45 minutes and three hours after the injection of the radioisotope. Extremity volumes were also measured before and after the drainage session. The findings from the examinations were assessed in a quantitative, semiquantitative and qualitative manner and compared without and with drainage. The analyses of the extremities' circumference before and after the drainage by paired t-test revealed a significant decrease. The analyses of the quantitative, semi-quantitative and qualitative evaluations evidenced no significant difference, without or with drainage, within the 45-minute and three-hour periods. Thus, manual lymphatic drainage caused an effective reduction in the circumference of the extremities but did not have a significant effect in the transport of <sup>99m</sup>TcDx.</div></front></TEI><affiliations><list><country><li>Brésil</li></country></list><tree><country name="Brésil"><noRegion><name sortKey="Kafejian Haddad, A P" sort="Kafejian Haddad, A P" uniqKey="Kafejian Haddad A" first="A. P." last="Kafejian-Haddad">A. P. Kafejian-Haddad</name></noRegion><name sortKey="Castiglioni, M L V" sort="Castiglioni, M L V" uniqKey="Castiglioni M" first="M. L. V." last="Castiglioni">M. L. V. Castiglioni</name><name sortKey="Janeiro Perez, M C" sort="Janeiro Perez, M C" uniqKey="Janeiro Perez M" first="M. C." last="Janeiro Perez">M. C. Janeiro Perez</name><name sortKey="Miranda, F Jr" sort="Miranda, F Jr" uniqKey="Miranda F" first="F. Jr" last="Miranda">F. Jr Miranda</name><name sortKey="Poli De Figueiredo, L F" sort="Poli De Figueiredo, L F" uniqKey="Poli De Figueiredo L" first="L. F." last="Poli De Figueiredo">L. F. Poli De Figueiredo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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