宫颈癌根治术后病人下肢淋巴水肿的预防与管理的最佳证据总结

Summary of best evidence for the prevention and management of lower limb lymphedema after radical cervical hysterectomy

目的:评价并总结宫颈癌根治术后病人下肢淋巴水肿预防与管理的相关证据,为临床医务人员提供循证依据。方法:系统检索国内外数据库中关于宫颈癌根治术后病人下肢淋巴水肿预防与管理的文献,并对其进行筛选与质量评价,对符合质量标准的文献进行证据提取及归纳。结果:纳入符合条件的文献8篇,其中临床决策2篇、指南2篇、系统评价1篇、专家共识3篇,提取并归纳定义与分期、预防与监测、评估、病人教育、保守治疗、手术治疗、随访7个方面的最佳证据23条。结论:本研究总结的宫颈癌根治术后病人下肢淋巴水肿预防与管理的最佳证据,临床医务人员可结合临床实际进行临床转化与进一步探索。

Objective:To retrieve,evaluate and summarize the relevant evidence for the prevention and management of lower limb lymphedema after radical cervical cancer surgery,and to provide evidence-based evidence for clinical medical personnel.Methods:Systematically search databases,obtain literature related to lower extremity lymphedema after radical hysterectomy for cervical cancer,and the literature were screened and evaluated,the related evidences were extracted and summarized from quality standardized literature.Results:A total of 8 articles were finally included,including 2 clinical decisions,2 guidelines,1 systematic review and 3 consensuses.23 best evidences in 7 aspects including definition and staging,prevention and monitoring,evaluation,patient education,conservative treatment,surgical treatment and follow-up were extracted and summarized.Conclusion:This study summarizes the best evidence for the prevention and management of lower limb lymphedema after radical cervical cancer surgery,which can be transformed and further explored by clinical medical personnel based on clinical practice.