中国现代医学杂志2017，Vol.27Issue(29)：45-48,4.DOI:10.3969/j.issn.1005-8982.2017.29.009
乳腺癌淋巴结清扫术中保留上肢淋巴结的疗效分析
Influence of upper limb lymph node retention on effect of lymph node dissection for breast cancer
摘要
Abstract
Objective To investigate the influence of retention of upper-limb lymph nodes on lymphedema and the quality of life in patients having lymph node dissection for breast cancer. Methods From January 2013 to December 2014, 100 patients with T1-3N0M0 breast cancer who underwent surgery in our hospital were randomly divided into observation group and control group with 50 in each group. The patients in the observation group received axillary reverse mapping with nano-carbon suspension before operation. The patients in the control group were treated with axillary lymph node dissection. The patients were followed up in the 1st, 6th and 12th months after operation. Lymphedema and the quality of life were compared between the two groups. Results The percentages of increased arm circumference in the affected arm 1, 6 and 12 months after operation were not statistically different between the two groups (P < 0.05). In addition, the incidence of lymphedema 12 months after operation in the observation group was significantly lower than that in the control group (P < 0.05). The score of the quality of life in the observation group decreased after operation, and it was significantly different between the two groups during follow-up (P < 0.05). Conclusions Lymphadenectomy for breast cancer with upper-limb lymph node preservation can prevent lymphedema of the upper limb and improve the quality of life of the patients. It is worthy to be popularized in clinical practice.关键词
乳腺癌/淋巴结清扫术/淋巴水肿/生活质量Key words
breast cancer/lymph node dissection/lymphedema/quality of life分类
医药卫生引用本文复制引用
高宇哲,倪青,贾琦,宿世琼,胡诗航..乳腺癌淋巴结清扫术中保留上肢淋巴结的疗效分析[J].中国现代医学杂志,2017,27(29):45-48,4.基金项目
贵州省科学技术基金项目 [No:黔科合J字(2009)2200号] （2009）
