摘要
乳腺癌相关淋巴水肿是乳腺癌手术后最常见的中远期并发症,严重影响患者的生活质量,其预防和治疗备受关注。乳房重建手术不仅恢复全乳切除患者的乳房外形,而且可在一定程度上减少淋巴水肿的发生。即刻自体组织乳房重建联合淋巴管-静脉吻合术(LVA)或血管化淋巴结移植术(VLNT)能够有效预防淋巴水肿的发生,延期乳房重建联合LVA或VLNT可同时恢复乳房外形和治疗淋巴水肿,其中自体组织皮瓣起到桥接作用,促进淋巴回流,从而增益淋巴水肿的治疗。上述外科技术的进步,为乳房重建与乳腺癌相关淋巴水肿防治决策提供了依据,也为提升患者生活质量带来了助力。
Advances in the diagnosis and treatment of breast cancer have significantly improved survival rates.Breast cancer-related lymphedema is the most common mid-and long-term complication after breast cancer surgery,which seriously affects the quality of life.Breast reconstruction can not only restore the shape of the breasts after mastectomy,but also reduce the occurrence of lymphedema to some extent.Immediate autologous breast reconstruction combined with lymphatic venous anastomosis(LVA)or vascularized lymph node transfer(VLNT)can effectively prevent lymphedema.Delayed breast reconstruction combined with LVA or VLNT can achieve the dual benefits of restoring the appearance and treating lymphedema at the same time.The autologous tissue flap can function as a bridge to promote lymphatic drainage,thus enhancing the treatment of lymphedema.The advances mentioned above in surgical techniques have provided a basis for decision making in breast reconstruction and the prevention and treatment of breast cancer-related lymphedema,and have also brought hope for improving the quality of life of patients.
作者
周悦
郝爽
吴炅
Zhou Yue;Hao Shuang;Wu Jiong(Department of Breast Surgery,Fudan University Shanghai Cancer Center,Department of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2024年第8期787-792,共6页
Chinese Journal of Surgery
关键词
乳腺肿瘤
乳房切除术
淋巴水肿
乳房重建
Breast neoplasms
Mastectomy
Lymphedema
Breast reconstruction
