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유방암 수술 후 발생한 림프부종과 말초신경병증에 대한 도침술과 정맥자락술 집중치료 증례보고

Acupotomy and venesection in Upper Limb Lymphedema and Peripheral neuropathy following Breast Cancer Surgery

  • 장은하 (원광대학교 광주한방병원 침구과) ;
  • 김소연 (원광대학교 광주한방병원 한방내과) ;
  • 김현식 (원광대학교 광주한방병원 한방내과) ;
  • 김성철 (원광대학교 광주한방병원 침구과)
  • Jang, Eun-Ha (Dept. of Acupuncture & Moxibustion, Gwang-Ju Oriental Medical, Hospital in WonKwang University) ;
  • Kim, So-Yeon (Dept. of Oriental Internal Medicine, Gwang-Ju Oriental Medical, Hospital in WonKwang University) ;
  • Kim, Hyun-Sik (Dept. of Oriental Internal Medicine, Gwang-Ju Oriental Medical, Hospital in WonKwang University) ;
  • Kim, Sung-Chul (Dept. of Acupuncture & Moxibustion, Gwang-Ju Oriental Medical, Hospital in WonKwang University)
  • 발행 : 2009.12.30

초록

Purpose: In order to estimate clinical effects of acupotomy and venesection in a patient with peripheral neuropathy and upper limb lymphedema following breast cancer surgery. Methods: From 17th August, 2009 to 29th August 2009, 1 female patient with peripheral neuropathy and upper limb lymphedema following breast cancer surgery was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy with venesection. Results: The patient's chief complaints- Lt hand numbness, Lt arm edema, Lt. wrist flexion limitation - were notably improved. Conclusions : This study demonstrates that oriental medical treatment with acupotomy and venesection therapy has significant effect in improving symptoms of peripheral neuropathy and upper limb lymphedema following breast cancer surgery, as though we had not wide experience in this treatment, more research is needed.

참고문헌

  1. 2008 National Cancer Information Center report
  2. MS Chun. et al. Arm morbidity after breast cancer treatments and analysis of related factors. Journal of Korean Soc Ther Radiol Onco 2005;23(1):32-42
  3. SH Cho. et al. The risk factors associated with lymphedema after axillary dissection for breast cancer. Journal of Korean Surgical Society 2006; 71(2): 85-89
  4. SB Choi. et al. Risk Factors for Developing Upper Limb Lymphedema following Breast Cancer Surgery. Journal of Korean Acad Rehab Med 2008; 32: 95-99
  5. Stewart FW, Treves N. Classics in oncology: lymphangiosarcoma in postmast-ectomy lymphedema: a report of six cases in elephantiasis chirurgica. CA Cancer J Clin 1981; 31: 284-299 https://doi.org/10.3322/canjclin.31.5.284
  6. J.E Donachy, E.L Christian. Case report: Physical Therapy Intervention Following Surgical Treatment of Carpal Tunnel Syndrome in an Individual With a History of Postmastectomy Lymphedema. Journal of Physical Therapy 2002; 82(10): 1009-1016
  7. 김달호. 圖解校勘舍庵道人鍼法. 서울: 小康. 2005 : 181-191
  8. Yeom CH. The Update Treatment of Lymphed ema. Kwandong Medical Journal. 2004 ; 8(2) : 63-65
  9. Kim GC, Kim JD, Kang YB. 浮腫의 洋韓方的 比較考察-西醫學의 腎臟性浮腫과 東醫 學의 陽水浮腫을 中心으로. The Journal of East-West Medicine. 1997 ; 22(3) : 37, 39, 49-50
  10. 신현대 외, 동의재활의학과학. 서울:서원당. 1995 : 95-108
  11. Jeung HY, Kang SG, Koh HG. Review on The XiaZhenDao Therapy. The journal of Korean acupuncture & moxibustion society. 2002 ; 19(1) : 244-261
  12. 黃龍祥. 中國鍼灸刺灸法通鑑. 靑島: 靑島出版社. 1996 : 120-146

피인용 문헌

  1. A Review of Trends for Acupotomy vol.31, pp.3, 2014, https://doi.org/10.13045/acupunct.2014041
  2. Current evidence of acupuncture for symptoms related to breast cancer survivors vol.97, pp.32, 2018, https://doi.org/10.1097/MD.0000000000011793
  3. Effectiveness and Safety of Acupotomy for Lumbar Disc Herniation: A Randomized, Assessor-Blinded, Controlled Pilot Study vol.2018, pp.1741-4288, 2018, https://doi.org/10.1155/2018/5871657
  4. A Proposal for Standardization of Acupotomy Terms and Definition Among Korean researchers vol.39, pp.2, 2018, https://doi.org/10.13048/jkm.18012