Ultrasonographic Findings and the Clinical Results of Treatment for Lymphedema
Identifieur interne : 002C37 ( Pmc/Corpus ); précédent : 002C36; suivant : 002C38Ultrasonographic Findings and the Clinical Results of Treatment for Lymphedema
Auteurs : Kiyoaki Niimi ; Masafumi Hirai ; Hirohide Iwata ; Keiko MiyazakiSource :
- Annals of Vascular Diseases [ 1881-641X ] ; 2014.
Abstract
We undertook this study using ultrasonography to examine structural changes occurring in the subcutaneous tissue with lymphedema. Ultrasonographic images were taken in 178 outpatients and 29 inpatients, with the images of the subcutis fluid accumulation, which was categorized into three types ( grade 0: absent, grade 1: a minimal amount of water, grade 2: stone-paved image due to excess water). Initial percentage of excess volume was correlated with the tissue fluid (grade 0: 7.5%, grade 1: 17.1%, grade 2: 30.5%, p <0.01). The higher the grade of fluid accumulation, the more important was the absolute reduction of lymphedema volume (grade 0: 2.5%, grade 1: 14.8%, grade 2: 33.2%, p <0.01). The percentage of severe lymphedema (stage2b + 3) was higher in inpatients than outpatients(89.3% vs. 45.8%), however, a significant decrease in the percentage of volume reduction was found for inpatients (29.4 ± 15.1% vs. 15.4 ± 14.2%, p <0.01). Echographic images can help to determine whether compression therapy will reduce lymphedema and to evaluate the treatment results by measuring tissue fluid. For severe lymphedema, a compression bandage was more effective than an elastic stocking. (English translation of Jpn J Phlebol 2013; 24: 287–294)
Url:
DOI: 10.3400/avd.oa.14-00104
PubMed: 25593621
PubMed Central: 4293186
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PMC:4293186Le document en format XML
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<author><name sortKey="Niimi, Kiyoaki" sort="Niimi, Kiyoaki" uniqKey="Niimi K" first="Kiyoaki" last="Niimi">Kiyoaki Niimi</name>
<affiliation><nlm:aff id="aff1">Center of Varicose Veins, Lymphedema and Vascular Diseases, Tohkai Hospital, Nagoya, Aichi, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Hirai, Masafumi" sort="Hirai, Masafumi" uniqKey="Hirai M" first="Masafumi" last="Hirai">Masafumi Hirai</name>
<affiliation><nlm:aff id="aff1">Center of Varicose Veins, Lymphedema and Vascular Diseases, Tohkai Hospital, Nagoya, Aichi, Japan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Iwata, Hirohide" sort="Iwata, Hirohide" uniqKey="Iwata H" first="Hirohide" last="Iwata">Hirohide Iwata</name>
<affiliation><nlm:aff id="aff2">Department of Vascular Surgery, Aichi Medical University, Nagoya, Aichi, Japan</nlm:aff>
</affiliation>
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<author><name sortKey="Miyazaki, Keiko" sort="Miyazaki, Keiko" uniqKey="Miyazaki K" first="Keiko" last="Miyazaki">Keiko Miyazaki</name>
<affiliation><nlm:aff id="aff1">Center of Varicose Veins, Lymphedema and Vascular Diseases, Tohkai Hospital, Nagoya, Aichi, Japan</nlm:aff>
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<author><name sortKey="Hirai, Masafumi" sort="Hirai, Masafumi" uniqKey="Hirai M" first="Masafumi" last="Hirai">Masafumi Hirai</name>
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<author><name sortKey="Iwata, Hirohide" sort="Iwata, Hirohide" uniqKey="Iwata H" first="Hirohide" last="Iwata">Hirohide Iwata</name>
<affiliation><nlm:aff id="aff2">Department of Vascular Surgery, Aichi Medical University, Nagoya, Aichi, Japan</nlm:aff>
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<author><name sortKey="Miyazaki, Keiko" sort="Miyazaki, Keiko" uniqKey="Miyazaki K" first="Keiko" last="Miyazaki">Keiko Miyazaki</name>
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<series><title level="j">Annals of Vascular Diseases</title>
<idno type="ISSN">1881-641X</idno>
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<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p>We undertook this study using ultrasonography to examine structural changes occurring in the subcutaneous tissue with lymphedema. Ultrasonographic images were taken in 178 outpatients and 29 inpatients, with the images of the subcutis fluid accumulation, which was categorized into three types ( grade 0: absent, grade 1: a minimal amount of water, grade 2: stone-paved image due to excess water). Initial percentage of excess volume was correlated with the tissue fluid (grade 0: 7.5%, grade 1: 17.1%, grade 2: 30.5%, p <0.01). The higher the grade of fluid accumulation, the more important was the absolute reduction of lymphedema volume (grade 0: 2.5%, grade 1: 14.8%, grade 2: 33.2%, p <0.01). The percentage of severe lymphedema (stage2b + 3) was higher in inpatients than outpatients(89.3% vs. 45.8%), however, a significant decrease in the percentage of volume reduction was found for inpatients (29.4 ± 15.1% vs. 15.4 ± 14.2%, p <0.01). Echographic images can help to determine whether compression therapy will reduce lymphedema and to evaluate the treatment results by measuring tissue fluid. For severe lymphedema, a compression bandage was more effective than an elastic stocking. (English translation of Jpn J Phlebol 2013; 24: 287–294)</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Vasc Dis</journal-id>
<journal-id journal-id-type="iso-abbrev">Ann Vasc Dis</journal-id>
<journal-id journal-id-type="pmc">avd</journal-id>
<journal-title-group><journal-title>Annals of Vascular Diseases</journal-title>
</journal-title-group>
<issn pub-type="ppub">1881-641X</issn>
<issn pub-type="epub">1881-6428</issn>
<publisher><publisher-name>The Editorial Committee of Annals of Vascular Diseases</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25593621</article-id>
<article-id pub-id-type="pmc">4293186</article-id>
<article-id pub-id-type="publisher-id">avd.oa.14-00104</article-id>
<article-id pub-id-type="doi">10.3400/avd.oa.14-00104</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Ultrasonographic Findings and the Clinical Results of Treatment for Lymphedema</article-title>
<alt-title alt-title-type="left-running-head">Niimi K, et al.</alt-title>
<alt-title alt-title-type="right-running-head">Ultrasonographic Findings and the Clinical Results of Treatment for Lymphedema</alt-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Niimi</surname>
<given-names>Kiyoaki</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hirai</surname>
<given-names>Masafumi</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Iwata</surname>
<given-names>Hirohide</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Miyazaki</surname>
<given-names>Keiko</given-names>
</name>
<degrees>MD, PhD</degrees>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<aff id="aff1">Center of Varicose Veins, Lymphedema and Vascular Diseases, Tohkai Hospital, Nagoya, Aichi, Japan</aff>
<aff id="aff2">Department of Vascular Surgery, Aichi Medical University, Nagoya, Aichi, Japan</aff>
</contrib-group>
<author-notes><corresp>Corresponding author: Kiyoaki Niimi, MD, PhD. Center of Varicose Veins, Lymphedema and Vascular Diseases, Tohkai Hospital, 1-1-1 Chiyodabashi, Chikusa-ku, Nagoya, Aichi 464-0011, Japan Tel: +81-52-711-6131, Fax: +81-52-712-0052</corresp>
<fn><p>E-mail: <email xlink:href="mailto:titanbeer2005@yahoo.co.jp">titanbeer2005@yahoo.co.jp</email>
</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>25</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><year>2014</year>
</pub-date>
<volume>7</volume>
<issue>4</issue>
<fpage>369</fpage>
<lpage>375</lpage>
<history><date date-type="received"><day>12</day>
<month>9</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>12</day>
<month>9</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© Annals of Vascular Diseases 2014</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p>We undertook this study using ultrasonography to examine structural changes occurring in the subcutaneous tissue with lymphedema. Ultrasonographic images were taken in 178 outpatients and 29 inpatients, with the images of the subcutis fluid accumulation, which was categorized into three types ( grade 0: absent, grade 1: a minimal amount of water, grade 2: stone-paved image due to excess water). Initial percentage of excess volume was correlated with the tissue fluid (grade 0: 7.5%, grade 1: 17.1%, grade 2: 30.5%, p <0.01). The higher the grade of fluid accumulation, the more important was the absolute reduction of lymphedema volume (grade 0: 2.5%, grade 1: 14.8%, grade 2: 33.2%, p <0.01). The percentage of severe lymphedema (stage2b + 3) was higher in inpatients than outpatients(89.3% vs. 45.8%), however, a significant decrease in the percentage of volume reduction was found for inpatients (29.4 ± 15.1% vs. 15.4 ± 14.2%, p <0.01). Echographic images can help to determine whether compression therapy will reduce lymphedema and to evaluate the treatment results by measuring tissue fluid. For severe lymphedema, a compression bandage was more effective than an elastic stocking. (English translation of Jpn J Phlebol 2013; 24: 287–294)</p>
</abstract>
<kwd-group><title>Keywords</title>
<kwd>Lymphedema</kwd>
<kwd>tissue fluid</kwd>
<kwd>ultrasonography</kwd>
<kwd>compression therapy</kwd>
<kwd>pathophysiology</kwd>
</kwd-group>
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</front>
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