宫颈癌患者治疗后下肢淋巴水肿的调查分析  

Lower-extremity lymphedema in patients with cervical cancer after treatment

作　　者：苏伟才[1] 梁雅楠 路虹[1] 杨永妍 曾媛 SU Wei-cai;LIANG Ya-nan;LU Hong;YANG Yong-yan;ZENG Yuan(Department of Internal Medicine,Cancer Institute and Hospital,Chinese Academy of Medical Sciences,Beijing 100021,China)

机构地区：[1]北京市中国医学科学院肿瘤医院内科,北京100021

出　　处：《中国肿瘤临床与康复》2018年第11期1314-1316,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨宫颈癌患者治疗后下肢淋巴水肿发生特点。方法选取2010年1月至2015年11月间北京市中国医学科学院肿瘤医院收治的1 174例宫颈癌患者,采用电话随访的方法回顾性调查宫颈癌患者下肢淋巴水肿发生的情况。结果发生下肢淋巴水肿的患者为135例,发生率为11. 5%,发生部位:左侧35例,右侧34例,双侧66例。其中93例为Ⅰ度水肿,占68. 9%。患者发生下肢淋巴水肿的时间为首次治疗(手术或放疗)后0～48个月,中位发生时间为治疗后2个月,发生淋巴水肿的患者中,愿意进行治疗的患者仅为33. 3%。结论宫颈癌患者治疗后淋巴水肿发生率高,发生时间早,水肿程度低。Objective To analyze the characteristics of lower-extremity lymphedema among patients with cervical cancer after their treatments. Methods Using telephone survey,this study investigated1174 cervical cancer patients who were treated at Chinese Academy of Medical Sciences from January 2010 to November 2015 for the incidence of lower-extremity lymphedema. Results Lower-extremity lymphedema occurred in 135 patients. The incidence was 11. 5%. For the location of lower-extremity lymphedema,35 were in the left leg,34 in the right leg and 66 in both legs. Among these patients,68. 9% of them were stage Ⅰ lymphedema. The time when lymphedema occurred was 0 to 48 months after the first treatment（ surgery or radiotherapy）. The median occurrence time was 2 months after the treatment. Only 33. 3% patients wanted to receive treatment. Conclusion The incidence of lower-extremity lymphedema is high among cervical cancer patients after treatment. Most of the patients suffer from stage Ⅰ lymphedema.

关 键 词：宫颈肿瘤 淋巴水肿 下肢 特点分析 

分 类 号：R737.9[医药卫生—肿瘤]