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1 / index.php / kfxb 1 12* ; * : shannonjj@126.com : ; : : (2015ZB040) ; ; % [1] [2] [7] 50% [3] [4] [5] [8] [6] : (6): XIE NJIA J. Progress on development and rehabilitation mechanism of upper extremity lymphedema after radical mastectomy Rehabilitation Medicine (6):

2 : [9] 2.3 [18] [10] 2.2 [19] [11] 16.7%~70.0% [12] [4] [20] 3 [13] SWAROOP [14] Vodder [21] KILBREATH [3] 5 1 [22] CORIDDI [15] [23] [16] [24] FELDMAN [25] [17]

3 [26-27] [28] [42] [29-31] [32-34] [43] 3.5 [43] [44] [35] [36] [37] [45-46] [35] [47-48] ; ; ; ; [35] [38-41] 3.4 [1] (8): (Kenso Kase) [2]. Kinesiology( ) [D]. : 2014:

4 : [3] KILBREATH S LREFSHAUGE K MBEITH J Met al. Risk factors for lymphoedema in women with breast cancer:a large prospective cohort Breast201628(4): [4]. [21] DERY M AYONUSCHOT GWINTERSON B J. The effects of [D]. : 2014:9-11. manually applied intermittent pulsation pressure to rat ventral [5]. thorax on lymph transport Lymphology (2): (9): [6] SVENSSON B JDYLKE E SWARD L Cet al. Segmental bioimpedance informs diagnosis of breast cancer -related lymphedema Lymphat Res Biol201717(3):262. [22] (9): [7]. [23] (17):2910- ( )201711(4): [8] RIDNER S. Pathophysiology of lymphedema [J ]. Seminarsin Oncology Nursing201329(1):4-11. [24] (10): [9]. ( )20156(9): pneumatic compression therapy :a systematic review Lymphology201245(1): [10] DYLKE E SBENINCASA NAKAGAWA HLIN Let al. Reliability and diagnostic thresholds for ultrasound measurements of dermal thickness in breast lymphedema Lymphat Res Biol (6): [11] MIASKOWSKI CDODD MPAUL S Met al. Lymphatic andangiogenic candidategenes predict the developmentof secondary lymphodema following breast cancer surgery [J ]. PLoS One 20138(4): (4): [12]. [30]. 1H-MRS (3): [13] TSAI R JDENNIS L KLYNCH C Fet al. The risk of developing arm lymphedema among breast cancer survivors:a metaanalysis of treatment factors World Journal of Surgical Oncology201412(1):1-8. [14] SWAROOP M NFERGUSON C MHORICK N Ket al. Impact of adjuvant taxane-based chemotherapy on development of breast cancer-related lymphedema:results from a large prospective cohort Breast Cancer Research & Treatment (2): [15] CORIDDI MKHANSA ISTEPHENS Jet al. Analysis of factors contributing to severity of breast cancer-related lymphedema Ann Plast Surg201574(1): [16] WINKELS R MSTURGEON K MKALLAN M Jet al. The women in steady exercise research (WISER) survivor trial:the innovative transdisciplinary design of a randomized controlled trial of exercise and weight-loss interventions among breast cancer survivors with lymphedema Contemp Clin Trials (10): [17] (6): [18] LEVICKJRMICHEL C C. Microvascular fluid exchange and the revised starling principle Cardiovascular Research (2): [19] ROCKSON S GRIVERA K K. Estimating the population burden of lymphedema Ann New York Academy of Sciences (1): [20] (3): [25] FELDMAN J LSTOUT N LWANCHAI Aet al. Intermittent [26]. [J ] (4):7-12. [27] KAPTCHUK T J. Acupuncture:theoryefficacyand practice Ann Intern Med (5): [28] WHITE AERNST E. A brief history of acupuncture Rheumatology200443(5): [29] (1): [31] ZHU HLI JPENG Zet al. Effectiveness of acupuncture for breast cancer related lymphedema:protocol for a single-blind sham-controlledrandomizedmulticenter trial BMC Complement Altern Med201717(1): [32] JEONG Y JKWON H JPARK Y Set al. Treatment of lymphedema with saam acupuncture in patients with breast cancer : a pilot study Medical acupuncture201527(3): [33] SMITH C APIROTTA MKILBREATH S. A feasibility study to examine the role of acupuncture to reduce symptoms of lymphoedema after breast cancer:a randomized controlled trial Acupuncture in Medicine201432(5): [34] YAO CXU YCHEN Let al. Effects of warm acupuncture on breast cancer relatedchronic lymphedema:a randomized controlled trial Current oncology201623(1): [35] (2): [36]. [D]. : 2012: [37] (3): [38]. [D]. : 2014: [39] (2):

5 [40]. breast cancer -relatedlym phedema [J ]. Support Care Cance [D]. : 2013: (5): [41]. [46] RIDNER S HPOAGE-HOOPER EKANAR Cet al. A pilot (12): randomizedtrial evaluating low-level laser therapy as an alterna- [42]. [M]. tive treatmentto manual lymphatic drainage for breast cancer - : 2012: related lymphedema Oncol Nurs Forum201340(4):383- [43] KASE KHASHIMOTO TTOMOKI O. Development of kine sio taping perfect manual [M]. Tokyo:Kinesio Taping Association1996: [47] (3): [44]. [48] BRORSON H. From lymph to fat:liposuction as a treatment forcomplete reduction of lymphedema Int J Low Extrem Wo (9): [45] DIRICAN AANDACOGLU OJOHNSON Ret al. The shortterm effects of low -level laser ther apy in the management unds201211(1): of Progress on Development and Rehabilitation Mechanism of Upper Extremity Lymphedema after Radical Mastectomy XIE Na 1 JIA Jie 12* 1 Huashan Hospital Fudan University Shanghai China; 2 Jing'an District Center Hospital of Shanghai Shanghai China *Correspondence:JIA Jie shannonjj@126.com ABSTRACT By reviewing the related literature at home and abroad we summarized and analyzed the development and rehabilitation mechanism of upper limb lymphedema after radical mastectomy. The results showed that upper limb overload trauma and infection were the most common causes of upper limb lymphedema and surgical methods postoperative radiotherapy and chemotherapy tumor recurrence obesity and so on were considered as related risk factors. The main pathophysiological mechanisms of upper limb lymphedema were the destruction of lymphatic vessels the obstruction of lymphatic circulation and the retention of extracellular fluid in the interstitial space. The retained fluid was very susceptible to infection due to the high protein content and the repeated inflammatory stimulation further aggravated the process of edema. The rehabilitation mechanism included the compensation of drainage of contralateral side the promotion of distal reflux and the regeneration of lymphatic vessels so as to eliminate the swelling of upper limb. KEY WORDS breast cancer lymphedema hand rehabilitation mechanism ( 36 )!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! A Case Report of Application of Short-stretch Bandage Treatment in Upper Limb Lymphedema after Breast Cancer Surgery JIANG Liuya 1 XIE Na 2 YUAN Xuelin 1 WANG Hewei 2 JIA Jie 12* 1 Jing'an District Center Hospital of Shanghai Shanghai China; 2 Huashan Hospital Fudan University Shanghai China *Correspondence:JIA Jie shannonjj@126.com ABSTRACT Objective:To explore the application of short-stretch bandage treatment in upper limb lymphedema after breast cancer surgery. Methods:A case of senior patient with breast cancer post-operative upper limb lymphedema was recruited. Intensive complete decongestive therapy (CDT) was applied according to the swelling degree of the patient. CDT included short-stretch bandage which was considered as the foundation of the whole treatment and some assistant treatment such as manual lymphatic drainage skin care and exercise. Assessment was performed before and after a week of treatment. Results:After the treatment the volume of the swelling limb was significantly reduced and the heaviness and discomfort of the limbs were significantly relieved. Ameliorating of symptoms enhanced the self-confidence of the patient's appearance and polished up the patient's psychological status. Conclusion:Intensive CDT based on short-stretch bandage treatment can significantly reduce limb swelling and improve the psychological state of the patients with lymphedema. KEY WORDS breast cancer lymphedema short-stretch bandage rehabilitation DOI: /SP.J