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KMID : 0361420090330030297
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Journal of Korean Academy of Rehabilitation Medicine
2009 Volume.33 No. 3 p.297 ~ p.303
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Clinical Outcomes of Cervical Stellate Ganglion Block in Patients with Secondary Lymphedema: A Pilo Study
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Kim Ho-Geun
Kim Kee-Won
Seo Han-Gil
Lim Chai-Young
Kim Tae-Uk
Chung Sun-Gun
Roh Dong-Young
Seo Kwan-Sik
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Abstract
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Objective: To investigate the clinical effect of stellate ganglion block in patients with secondary lymphedema after
breast cancer treatment.
Method: In a prospective clinical trial, the consecutive stellate ganglion block (SGB) was performed every two
weeks to 10 patients (Mean age 46.0±9.4 (yr)) who was diagnosed as of secondary lymphedema after breast cancer
treatment. The parameters were the circumstance of arm and the thickness of skin and subcutaneous tissue of the affected arm measured by ultrasonography. We measured these parameters with baseline value before SGB treatment and
repeated the evaluation after each SGB treatment. And the subjective data of satisfaction, softness and improvement
were obtained by questionnaires.
Results: 10 patients were treated with stellate ganglion block. The mean circumferences of upper arm and forearm after three consecutive SGB treatments reduced significantly: upper arm from 31.39 cm to 29.72, forearm from 25.14 cm to 23.64 cm (p＜0.05). And the thickness of subcutaneous tissue of upper arm significantly decreased under ocompression measuring technique after three SGB treatments (p＜0.05). The compliance of superficial tissue showed
significant change with serial procedure. Almost all of the patients had a satisfaction and feeling of softness in their
affected arm after treatments.
Conclusion: The cervical stellate-ganglion block reduced the circumstance and the thickness of arm with lymphedema and satisfied almost lymphedema patients. So this treatment presents a favorable outcome to the breast cancer-related lymphedema patient clinically.
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KEYWORD
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Lymphedema, Stellate ganglion block, Postmastectomy
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