| 古 亮,江 宁,李 阳.头颈肿瘤继发淋巴水肿的评估与治疗进展[J].肿瘤学杂志,2020,26(4):329-335. |
| 头颈肿瘤继发淋巴水肿的评估与治疗进展 |
| Research Progress of Evaluation and Treatment of Secondary Lymphedema of Head and Neck Cancer |
| 投稿时间：2020-01-16 |
| DOI：10.11735/j.issn.1671-170X.2020.04.B011 |
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| 中文关键词: 头颈肿瘤 淋巴水肿 评估 治疗 |
| 英文关键词:head and neck cancer lymphedema evaluation therapy |
| 基金项目:国家自然科学基金（81602381） |
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| 摘要点击次数: 1367 |
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| 中文摘要: |
| 摘 要：淋巴水肿是头颈肿瘤患者经治后常见的不良反应，若缺乏系统评估与治疗，会发展为相关部位或器官中至重度纤维化，导致吞咽、言语等功能障碍，同时可能引起患者焦虑乃至心理问题，严重影响患者的生活质量。随着综合治疗策略的发展，头颈肿瘤患者的生存期不断延长，继发淋巴水肿的预防和诊治显得日益重要。患者头颈肿瘤继发淋巴水肿症状以CRO评估、物理治疗为主的模式尚未取得令人满意的结果。不过现有治疗评估体系提示继发性淋巴水肿可控、可防治。全文对近年来头颈肿瘤继发淋巴水肿的评估方法，以及诊疗技术的研究进展进行综述，旨在为评估和改善头颈肿瘤患者继发淋巴水肿症状及减少远期并发症提供理论依据。 |
| 英文摘要: |
| Abstract：Lymphedema is a common adverse reaction after treatment for patients with head and neck tumors. Without systematic evaluation and treatment，it will develop into moderate to severe fibrosis in related parts or organs，which will cause dysfunctions on swallowing and speech，and even cause anxiety and psychological problems which affect patients’ quality of life. With the development of comprehensive treatment strategies，the survival time of patients with head and neck tumors continues to prolong，which is increasingly important for prevention and diagnosis of secondary lymphedema. The current practice patterns which mainly include CRO assess and physical therapy for patients with secondary lymphedema in the head and neck have not yet achieved satisfactory results. However，the existing treatment evaluation system suggests that secondary lymphedema can be controlled and prevented. This article reviews the recent development in the evaluation methods and diagnostic techniques of secondary lymphedema of head and neck tumors，in order to provide theoretical basis for evaluating and improving the secondary lymphedema symptoms and reduce long?鄄term complications for patients with head and neck tumor. |
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