皮下组织钩剥松解治疗乳腺癌术后上肢淋巴水肿

Subcutaneous Tissue Hook Stripping Loose Treatment in Patients with Postmastectomy Lymphoedema

目的:研究皮下组织钩剥松解术治疗乳腺癌术后上肢淋巴水肿的效果。方法:9例乳腺癌术后上肢淋巴水肿2年以上的患者进行患肢皮下组织钩剥松解治疗,利用小切口皮下组织钩剥松解水肿上肢瘢痕增生及组织肥厚处,并置皮下引流,术后弹力绷带加压包扎3d后换药,继续弹力绷带加压包扎3个月后改为弹力袖套加压支持治疗,观察疗效。结果:经术后3-15个月随访,患肢淋巴水肿明显减轻,外观缩小,患肢上臂及前臂周径差值(患肢-健肢)较治疗前差异有统计学意义(P<0.05)。结论:皮下组织钩剥松解术治疗乳腺癌术后上肢淋巴水肿方法简便,近期疗效良好。

Objective： To study a new method of treatment for breast carcinoma-related upper extremity lymphedema. Method： 9 cases of upper limb lymphedema after mastectomy for more than 2 years in patients with limb subcutaneous tissue hook stripping loose treatment, using small incision subcutaneous tissue hook stripping releasable edema of the upper limbs scar proliferation and tissue hypertrophy, juxtaposition subcuta- neous drainage and compressed with elastic bandage. 3 days after operation, change dressing, to stretch bandage 3 months later changed to elastic cuff pressure support treatment. Result：After 3-15 months of fol- low-up, affected limb lymphedema is reduced apparently, the appearance of narrow, limb forearm and upper arm circumference difference （affected limb-healthy limb） compared with before treatment, the difference was statistically significant （ P〈0.05 ）. Conclusion： Subcutaneous tissue hook stripping neurolysis for treatment of upper limb lymphedema after mammary cancer operation is simple, the curative effect is good.