Öz
Amaç
Kompleks dekonjestif tedavi (KDT), lenfödem tedavisinde altın standart olarak kabul edilmektedir. Bu retrospektif çalışmada, alt ekstremite lenfödem tedavisinde KDT’nin etkinliğini değerlendirmek amaçlanmıştır.
Gereç ve Yöntem
Bu retrospektif çalışma, üniversite hastanemizde alt ekstremite lenfödemine yönelik KDT uygulanmış olan hastaların, demografik özellikleri, hastalık özellikleri, volüm farkları, lenfödem volümünün vücut kitle endeksine (LV/VKİ) oranı değerleri incelenmiştir.
Bulgular
Toplam 127 hastaya ait 198 ekstremitenin tedavi sonuçları incelenmiştir. Venöz yetmezliğe bağlı alt ekstremite lenfödemi bulunan hastalarda, tedavi öncesi ve sonrası LV/VKİ oranları anlamlı olarak daha yüksek saptanmıştır. Lenfödem evresi ile VKİ arasında anlamlı bir pozitif ilişki saptanmıştır (p<0,05). Tedavi sonrası LV/VKİ oranı ile hastaların aktivite düzeyleri ve radyoterapi seans sayısı arasında da anlamlı ilişki bulunmuştur (p<0,05).
Sonuç
Sonuçlarımız, primer lenfödemin de, KDT’ye kansere bağlı lenfödem kadar iyi yanıt verdiğini desteklemektedir. Ayrıca, kronik venöz yetmezlik hastalarında da KDT ile benzer volüm azalması elde edildiği gözlenmiştir.
Anahtar Kelimeler: Anahtar kelimeler: Kompleks dekonjestif tedavi, lenfödem, rehabilitasyon, venöz yetmezlik
Kaynakça
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