乳腺癌腋窝清扫术发病率的前瞻性评估
Prospective evaluation of the morbidity of axillary clearance for breast cancer.
作者信息
Duff M, Hill A D, McGreal G, Walsh S, McDermott E W, O'Higgins N J
机构信息
St Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
出版信息
Br J Surg. 2001 Jan;88(1):114-7. doi: 10.1046/j.1365-2168.2001.01620.x.
BACKGROUND
Axillary clearance, despite its morbidity, retains an essential role in the management of patients with breast cancer. The aim of this prospective study was to document the development of arm swelling and limitation of shoulder movement following complete axillary clearance.
METHODS
One hundred patients who had axillary clearance to level III, for treatment of breast cancer, were followed prospectively for over 1 year. Arm volumes were measured using an optoelectronic volometer and shoulder movements with a goniometer.
RESULTS
Ten patients had significant arm swelling at 1 year. The swelling was mild in eight and moderate in two. No patient developed severe swelling. Reduced arm movements were noted in the first week after operation but had returned to normal at 6 months.
CONCLUSION
This study provided accurate documentation of the morbidity associated with axillary clearance, together with a reproducible method of arm volume measurement.
背景
腋窝清扫术尽管存在一定的并发症，但在乳腺癌患者的治疗中仍起着至关重要的作用。这项前瞻性研究的目的是记录完全腋窝清扫术后手臂肿胀及肩部活动受限的发生情况。
方法
对100例因乳腺癌接受III级腋窝清扫术的患者进行了为期1年多的前瞻性随访。使用光电体积计测量手臂体积，用角度计测量肩部活动。
结果
10例患者在1年时出现明显的手臂肿胀。其中8例肿胀轻微，2例中度肿胀。无患者出现严重肿胀。术后第一周发现手臂活动减少，但在6个月时恢复正常。
结论
本研究提供了与腋窝清扫术相关并发症的准确记录，以及一种可重复的手臂体积测量方法。
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