组织工程与重建外科杂志2024，Vol.20Issue(1)：69-74,82,7.DOI:10.3969/j.issn.1673-0364.2024.01.005
抽吸减容术治疗乳腺癌术后上肢淋巴水肿
Effect of debulking surgery on upper limb lymphedema after breast cancer surgery
摘要
Abstract
Objective To explore the effect of suction volume reduction surgery in the treatment of upper limb lymphedema after breast cancer surgery with different severity.Methods The clinical data of 42 patients with upper limb lymphedema after breast cancer surgery from January 2020 to December 2022 were retrospectively analyzed,including 42 women aged(57.19±8.79)years.According to the severity,the patients were divided into non-severe group(n=25)and severe group(n=17).The clinical characteristics of patients with upper limb lymphedema after breast cancer surgery of different severity were analyzed,and the application effect of suction volume reduction surgery on upper limb lymphedema after breast cancer surgery of different severity was analyzed.Results The average age of the non-severe group was(54.6±8.85)years old,while the average age of the severe group was(61.0±7.39)years old,with a statistically significant difference(P=0.019).The preoperative BMI of the non-severe group was(26.58±3.64)kg/m2,while the BMI of the severe group was(29.11±5.83)kg/m2,with no statistically significant difference between the two groups(P=0.091).In terms of operation mode,lymphedema aspiration was performed for patients with non-severe/severe upper limb lymphedema after operation of breast cancer,while a few patients with extremely severe upper limb lymphedema were treated with lymphedema aspiration combined with pathological tissue resection.Compared with the severe group,the surgery time,injection volume of swelling fluid,suction volume of fat suspension,liposuction volume,and intraoperative bleeding volume in the non-severe group had statistical differences(P<0.01).The swelling degree of the two groups was improved after operation and 3 months after operation(P<0.01),and the swelling improvement degree of the non-severe group was significantly better than that of the severe group after operation and 3 months after operation,the difference was statistically significant(P<0.01).Conclusion Aspiration volume reduction surgery can significantly improve the degree of limb swelling of upper limb lymphedema after breast cancer surgery of different severity.关键词
减容手术/吸脂术/乳腺癌术后上肢淋巴水肿Key words
Debulking surgery/Liposuction/Upper limb lymphedema after breast cancer surgery分类
医药卫生引用本文复制引用
郝昆,孙宇光,王仁贵,沈文彬..抽吸减容术治疗乳腺癌术后上肢淋巴水肿[J].组织工程与重建外科杂志,2024,20(1):69-74,82,7.基金项目
国家自然科学基金项目(61876216) （61876216）
首都医科大学附属北京世纪坛医院院青年基金(2022-q16). （2022-q16）
