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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(3):698-704.
Improvement of Lymphatic Function after Complex Physical Therapy Change of Lymphoscintigraphy.
Hwang, Ji Hye , Lee, Kang Woo , Kwon, Jeong Yi , Kim, Byung Tae , Choi, Joon Young , Lee, Byung Boong , Kim, Dong Ik
1Department of Physical Medicine and Rehabilitation, Sung Kyun Kwan University College of Medicine.
2Department of Nuclear Medicine, Sung Kyun Kwan University College of Medicine.
3Department of General Surgery, Sung Kyun Kwan University College of Medicine.
복합적 임파 물리치료후 임파계 기능의 호전 ⁣림프신티그라피상의 변화⁣
황지혜, 이강우, 권정이, 김병태1, 최준영1, 이병붕2, 김동익2
성균관대학교 의과대학 재활의학교실, 1핵의학교실 및 2외과학교실
Abstract

Objective
Lymphoscintigraphy is the diagnostic test of choice in patients with suspected lymphedema. This reveals functional information rather than anatomic details. We evaluated the improvement of lymphatic function after complex physical therapy(CPT) in patients with lymphedema via lymphoscintigraphic follow-up examination.


Method
In 19 lymphedema patients(22 extremities) regardless of etiology, lymphoscintigraphy using Tc-99m antimony sulfide colloid was performed before and 3-month after CPT. Main lymphoscintigraphic findings of lymphedema and lymphoscintigraphic changes after CPT were evaluated.


Results
Main lymphoscintigraphic findings of lymphedema were the presence of dermal backflow(100%) and collateral vessels(68.2%), non-visualized or barely visualized lymph nodes (95.5%), and non-visualized or barely visualized lymphatic vessels(27.3%). The findings of lymphoscintigraphy suggesting improvement of lymphatic function after CPT were decreased dermal backflow(72.7%), increased radioisotope uptake of lymph nodes(9.1%) and increased radioisotope uptake of lymphatic vessels(27.3%). Increased dermal backflow itself with decreased total tissue pressure after CPT was not the finding implying deterioration of lymphatic function. There was no constant correlation between clinical improvement and lymphoscintigraphic improvement.


Conclusion
The lymphoscintigraphic follow-up examination combined with volumetry is useful in assessing the improvement of lymphatic function in lymphedema.

Key Words: Lymphedema, Lymphoscintigraphy, Complex physical therapy


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