乳腺癌术后上肢淋巴水肿原因及防治探讨

目的探索乳腺癌根治术后上肢淋巴水肿的原因及防治。方法对420例乳腺癌术后105例上肢淋巴水肿进行回顾性分析。结果420例乳癌根治术患者中,160例行Halsted根治术,发生患侧上肢淋巴水肿54例,发生率33.75%（54/160）,其中Ⅰ级27例、Ⅱ级18例、Ⅲ级9例;260例行Patey改良根治术,51例发生淋巴上肢水肿,发生率为19.61%（51/260）其中Ⅰ级27例、Ⅱ级15例、Ⅲ级9例。根治组术后放疗127例,发生上肢淋巴水肿47例。改良根治组放疗112例,发生上肢淋巴水肿37例。结论乳腺癌术后上肢淋巴水肿与手术方式和术后放疗有关。

Cause and treatment evaluation on upper limb lymphedema post mastectomy of breast cancer

Objective TO explore the cause and therapy on upperlimb lymphedema post mastectomy of breast cancer. Methods To give an analysis to 105 cases of upper limb lymphedema in 420 cases of experienced breast cancer mastectomy retrospectedly. Results upper limb lymphedema was found in 105 of 420 cases ,which divided into halsted mastectomy groups （160）and patgy mastectomy groups （260）. In halsted groups, lymphedema 54 in 160, the rate is 33.75%, Ⅰ grade 27, Ⅱ grade 18, Ⅲ grade 9 ;in patgy groups,lymphyedema 51 in 260,the rate is 19. 61%, Ⅰ grade 27, Ⅱ gradelS, m grade9;127 cases were employed radiotherapy after operation which of 47 with lymphyedema in mastectomy groups, in patgy groups 112 cases to radiotherapy and 37 with lymphedema. Conclusion To the breast cancer patients who experienced mastectomy and with upper limb lymphedema, the way of operation and radiotherapy were main keys leading to lymphedema, there is no effective therapy on lymphedema treatment.