乳腺癌改良根治术后早期应用弹力袖套防治患肢水肿的疗效观察

Clinical Observation on the Prevention and Therapeutic Effect of Bethca in Early Upper Limb Edema After Modified Radical Mastectomy in Patients with Breast Cancer

[目的]探讨乳腺癌改良根治术后早期应用弹力袖套对防治患肢水肿的效果。[方法]对照组69例,术后按常规进行患肢功能锻炼;试验组72例,术后在进行常规患肢功能锻炼的基础上应用弹力袖套束缚患肢。观察并比较两组患者患肢水肿发生及患肢功能恢复情况。[结果]随访1个月后,试验组患肢水肿发生率(23.6%)显著低于对照组(43.5%)(P<0.05),随访2个月后两组患者在患肢功能恢复方面,差异亦有统计学意义(P<0.05)。[结论]乳腺癌改良根治术后常规功能锻炼的基础上早期应用弹力袖套,对于防治患肢水肿效果显著,且患肢功能恢复良好,值得在临床实践中推广。

[Purpose] To investigate the prevention and therapeutic effect of bethca in early upper limb edema after modified radical mastectomy in patients with breast cancer.[Methods] Sixty-nine patients of control group received routine upper limb functional training postoperative,while 72 patients of test group received bethca bondage based on the routine upper limb functional training.The incidence of upper limb edema and recovery of limb function were observed and compared.[Results] The incidence of upper limb edema in test group（23.6%） was significantly lower than that in control group（43.5%）（P〈0.05）.The excellent rate of recovery of limb function was significantly higher in test group than that in control group after 2 months follow-up（P〈0.05）.[Conclusion] The method of bethca bondage the upper limb based on the routine functional training postoperative is useful for prevention and treatment for early upper limb edema after modified radical mastectomy in patients with breast cancer.