乳腺癌术后上肢水肿诊疗现状分析

对近10年有关乳腺癌术后患侧上肢淋巴水肿的发病原因、诊断、治疗及预防等方面的资料进行综述。乳腺癌术后上肢淋巴水肿严重危害患者的身心健康和生活质量。按摩、压力泵、微波等物理治疗对轻中度水肿有效,但易反复;药物治疗效果不理想;重症患者可考虑手术治疗。水肿一旦形成则很难治愈,应把工作的重点放在预防上;前哨淋巴结活检术取代腋窝淋巴结清扫术,有望从根本上解决上肢淋巴水肿等并发症。

Current Status of Diagnosis and Treatment in Upper Limb Lymphedema after Mastectomy

To review researches on the pathogenesis,diagnosis,treatment,prevention etc.published in the last ten years.Upper limb lymphedema after mastectomy can severely threaten physical and mental health and life quality of the patients.The mild to moderate dropsy can be effectively treated by massage,booster pump,microwave and other physiotherapies,however they frequently relapse.The medication is not ideal.Operation may be considered for severe cases.Once the dropsy is generated,it can hardly be cured.Prevention should be the key point.Axillary lymph node dissection(ALDN)can be substituted by the Sentinel Lymph node biopsy(SLNB),wich might fundamentally solve the complications of upper limb lymphedema.