中国康复理论与实践2025，Vol.31Issue(3)：356-364,9.DOI:10.3969/j.issn.1006-9771.2025.03.013
乳腺癌术后肩关节活动度分析
Shoulder joint range of motion after operation for breast cancer
摘要
Abstract
Objective To observe the characteristics of affected shoulder joint range of motion in patients with breast cancer after ax-illary lymph node dissection before radiotherapy. Methods From January,2022 to December,2023,185 female patients from the Fourth Hospital of Hebei Medical Uni-versity after unilateral breast cancer who underwent axillary lymph node dissection were reviewed.Their general data were collected;affected shoulder joint range of motion was evaluated by progoniometer;lymphedema of af-fected upper extremities was evaluated by water volume replacement;Verbal Rating Scale(VRS)was used to evaluate the pain in the upper extremity of the operative side. Results The angles of anterior flexion and abduction of the affected shoulder joint were(158.90±17.17)° and(147.70±24.59)°.There were significant differences in the angles of affected shoulder anterior flexion and abduction among patients at different ages(more than 55 years and less than 55 years)and those with or without lymphede-ma.Multiple linear regression showed that the angle of affected shoulder flexion was smaller in patients aged more than 55 years(β=-7.766,95%CI-13.161 to-2.360,P=0.005),and with lymphedema(β=-10.991,95%CI-19.063 to-2.925,P=0.008);was larger in patients with longer duration after operation(β=0.463,95%CI 0.012 to 0.924,P=0.049),and BMI 24 to 27.9 kg/m2(β=6.211,95%CI 0.660 to 11.761,P=0.030)(compared with BMI<24 kg/m2).The angle of affected shoulder abduction was smaller in patients aged more than 55 years(β=-10.047,95%CI-17.358 to-2.747,P=0.008),and with lymphedema(β=-14.171,95%CI-25.191 to-3.150,P=0.013). Conclusion Shoulder joint range of motion has reduced in flexion and abduction in patients at early stage after axillary lymph node dissection for breast cancer,which is related to age and lymphedema.关键词
乳腺癌/肩关节/上肢/关节活动度Key words
breast cancer/shoulder joint/upper extremity/range of motion分类
医药卫生引用本文复制引用
耿文慧,周严红,尹俊普,韩磊,高阳..乳腺癌术后肩关节活动度分析[J].中国康复理论与实践,2025,31(3):356-364,9.基金项目
1.河北省卫生健康委医学科学研究重点科技研究计划项目(No.20150308) （No.20150308）
2.河北省卫生健康委医学科学研究课题计划项目(No.20230887) Supported by Hebei Provincial Health Commission Medical Science Research Key Scientific and Technological Research Project(No.20150308)and Medical Science Research Project of Hebei Provincial Health Commission(No.20230887) （No.20230887）
