摘要
自1986年3月至1996年12月,以手术为主综合治疗乳腺癌523例,术后出现患侧上肢水肿57例,发生率10.9％。其中,Ⅰ、Ⅱ、Ⅲ、Ⅳ期乳腺癌术后上肢水肿发生率分别为1.8％、6.0％、15.9％、17.1％。改良根治术术后上肢水肿的发生率明显低于标准的根治术、扩大根治术和超根治术。术后放疗者的上肢水肿发生率明显高于术后未放疗者。作者认为正确选择手术方式,规范手术操作,严格掌握术后放疗的适应证以及加强术后功能锻炼是防止术后水肿的重要措施。
From March 1986 to December 1996,523 cases of breast carcinoma received operation as primary treatment were studied Postoperavive edema of wounded upper limb occurred in 57 cases (10. 9%),The incidence of edema was 1. 8% in stage Ⅰ ,6. 0% in stage Ⅱ ,15. 9% in stage Ⅰ ,17. 1% in stage Ⅳ , respectively. Those wao received modified radical mastectomy had lower incidence of edema than those who received standard extended or superradical mastectomy. Those who received adjuvant postoperative radiotherapy had significantly higher incidence of edema than the control group. It is concluded that the incidence of postoperative edema of wounded upper limb might be decreased by ways,such as choice of proper operative procedures, standardizing operative process, strict indications of postoperative radiotherapy and functional exercise of wounded limb.
出处
《中国微创外科杂志》
CSCD
1999年第1期14-15,7,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
乳腺癌
术后
上肢
水肿
Breast carcinoma Postoperative edema Upper limb
