皮下组织抽吸加弹力压迫治疗乳腺癌术后上肢淋巴水肿

TREATMENT OF UPPER LIMB LYMPHEDEMA AFTER RADICAL MASTECTOMY WITH LIPOSUCTION TECHNIQUE AND PRESSURE THERAPY

目的 探讨乳腺癌术后上肢淋巴水肿的治疗方法。 方法 2 0 0 1年6月～2 0 0 3年9月选择乳腺癌术后上肢淋巴水肿2年以上的患者11例,患侧上肢明显水肿,外观增粗,前臂中点周径与健侧平均相差4 .4 cm,上臂中点周径与健侧平均相差6 .6 cm,活动受限,其中2例有丹毒反复发作。利用肿胀吸脂技术,对其水肿的上肢进行皮下组织抽吸去除,术后弹力加压3个月后,改为每晚弹力加压,观察疗效。 结果 经6～15个月随访,11例患者的上肢淋巴水肿明显减轻,外观缩小,平均上臂周径较术前减小4 cm,无丹毒发生。 结论 皮下组织抽吸加适时弹力压迫治疗乳腺癌术后上肢淋巴水肿,方法简便。

Objective To study a new method of treatment for upper limb lymphedema after radical mastectomy. Methods From Jun. 2001 to Sep. 2003, 11 cases(2 with complication of erysipelas ) of upper limb lymphedema being treated with radical mastectomy for more than 2 years were used as model. All the edema of limbs was sucked from hypodermis with liposuction technique and compressed with compression garment. Three months after operation, elasticity stress was conducted every night. Results The reduction of the edema of upper limbs was remarkable. The average decrease of circumference was 4 cm. No erysipelas was observed. Conclusion The liposuction technique and elasticity stress is a new and effective approach to the treatment of upper limb lymphedema.