摘要
目的：探讨乳腺癌术后同侧上肢肿胀发生的原因及预防。方法：回顾性分析我科2005年1月～2005年10月施行乳腺癌根治术336例中术后并发同侧上肢肿胀94例的临床资料。结果：术后并发同侧上肢肿胀94例，发生率为27．9％。其中根治术者上肢肿胀发生率为32．8％（38／116），改良根治术者上肢肿胀发生率为25．5％（56／220），术后未行放疗者上肢肿胀发生率为25．0％（56／224），术后放疗者上肢肿胀发生率为33．9％（38／112）。术后创口Ⅰ期愈合者上肢肿胀发生率为25．0％（60／240），术后创口愈合不良、感染者上肢肿胀发生率为35．4％（34／96）。结论：乳腺癌术后同侧上肢肿胀的直接原因是腋窝淋巴结的清扫，其次为术后辅助放疗，并与创口愈合不良、感染等有关。适当考虑缩小腋窝淋巴洁清扫范围，合理应用术后辅助放疗和及时处理术后并发症等对上肢肿胀有预防作用，可降低其发生率。
Objective： To explore the causes and prevention of ipsilateral upper limb swelling after breast cancer operation. Methods： There were 336 cases with breast cancer received mastectomy since Jan 2005 to Oct 2005. Among them postoperative ipsilateral upper limb swelling（PIULS） were found in 94 cases. A retrospective analysis on the clinical data of these 94 cases was done. Results： The total incidence of PIULS was 27.9%（94/336）,and 32.8%（38/116） in radical mastectomy,25.5%（56/220） in modified radical mas- tectomy, 33.9%（38/112） in cases with postoperative radiotherapy, while 25.0% （56/224） in cases without radiotherapy. There were 25.0%（60/240） in cases with wound healing Ⅰ , while 35.4Y0 （34/96） in cases with worse wound healing or infection. Conclution： Ipsilateral upper limb swelling after breast cancer as a direct result of the axillary lymph node dissection, followed by postoperative radiotherapy, and poor wound healing, infections. Appropriate considering reducing the scope of axillary dissection, the rational application of adjuvant radiotherapy and timely treatment of postoperative complications, may prevent and reduce the incidence of PIULS.
出处
《新疆医科大学学报》
CAS
2008年第7期834-835,共2页
Journal of Xinjiang Medical University
关键词
乳腺肿瘤
上肢肿胀
并发症
breast tumor
upper limb swelling
complications
