【摘要】 目的:上肢淋巴结水肿是乳腺癌腋窝淋巴结清扫术后的常见并发症,研究上肢水肿发生的危险因素有助于降低乳腺癌术后上肢淋巴结水肿的发生率。方法:随机选取114例行腋窝淋巴结清扫术的乳腺癌患者,随访并统计与腋窝淋巴结清扫术后上肢水肿相关的因素。结果:术后放疗(OR=9.233)、感染或积液导致的延迟愈合(OR=8.225)、高血压病(OR=6.977)、糖尿病(OR=5.648)是导致术后同侧上肢水肿的相关危险因素,上肢功能恢复性锻炼(OR=0.156)是术后上肢水肿的保护性因素。结论:术后是否放疗、感染或积液导致的延迟愈合、高血压病、糖尿病是导致术后同侧上肢水肿的相关危险因素,积极的上肢功能锻炼可以预防淋巴结清扫术后同侧上肢淋巴水肿的发生。更多还原

【Abstract】 Objective: Upper limb lymphedema following axillary lymph node dissection with breast tumor is a common complication which accounted for nearly 25% of postoperative patients.To investigate its risk factors is conducive to the decreasing of incidence of upper limb lymphedema after breast cancer surgery.Methods: 114 unilateral breast tumor patients who received axillary lymph node dissection were randomly selected and surveyed about corresponding factors that have relationships with lymphedema.Results: Four factors contributes to lymphedema after axillary lymph node dissection of breast cancer patients,for instance,radiotherapy(OR=9.233),delayed union(OR=8.225),hypertension(OR=6.977),diabetes(OR=5.648).Whereas,postoperative functional exercise is a protective factor which prevent lymphedema(OR=0.156).Conclusion: Radiotherapy,delayed union,hypertension,diabetes are risk factors,which contribute to postoperative lymphedema,and on the contrary,postoperative functional exercise were protective factors.更多还原