乳腺癌患者根治术后上肢淋巴水肿的管理

Management of Post-Mastectomy Upper Limb Lymphedema in Patients with Breast Cancer

淋巴水肿是一种淋巴回流障碍引起的慢性、进展性的并发症。接受过腋窝淋巴结清扫的乳腺癌患者中上肢淋巴水肿发生率为16%~40%。而且在前哨淋巴结清扫患者中只有3.5%出现上肢淋巴水肿。然而上肢淋巴水肿并不是目前新出现的并发症,外科治疗的进展为淋巴水肿的管理提供治疗手段,并改善其疗效。因此本文的目的是对乳腺癌术后上肢水肿的外科治疗手段和目前进展做一综述。

Lymphedema is a chronic, progressive complication caused by an imbalance of lymphatic flow. Upper limb lymphedema has been reported in 16% - 40% of breast cancer patients following axillary lymph node dissection. Furthermore, lymphedema followed sentinel lymph node biopsy alone has been reported in 3.5% of patients. While the disease process is not new, there has been significant progress in the surgical treatment for lymphedema that can offer alternatives and improvements in management. The purpose of this review is to provide a comprehensive overview of the current advances and surgical treatment options for upper limb lymphedema after mastectomy for patients with breast cancer.