Leidenius Marjut, Leppänen Esa, Krogerus Leena, von Smitten Karl
Breast Surgery Unit, Maria Hospital, Helsinki University Hospital, Lapinlahdenkatu 16, FIN-00180 Helsinki, Finland.
Am J Surg. 2003 Feb;185(2):127-30. doi: 10.1016/s0002-9610(02)01214-x.
We evaluated the prevalence of motion restriction and axillary web syndrome (AWS) after sentinel node biopsy (SNB) and axillary clearance (AC) in a prospective study. AWS is a self-limiting cause of early postoperative morbidity after axillary surgery. Limited range of motion associated with palpable cords of tissue in the axilla are typical for AWS.
Altogether 85 breast cancer patients who underwent SNB only (49 patients) or SNB and AC (36 patients) were examined before and after surgery. The range of shoulder flexion and abduction and the presence of AWS were registered.
The range of shoulder movements was restricted in 24 (45%) patients after SNB only and in 31 (86%) patients who also underwent AC (P = 0.002). AWS was encountered in 10 (20%) patients with SNB and in 26 (72%) with AC (P <0.00005).
In the SNB group, significantly less early postoperative morbidity was observed.
我们在一项前瞻性研究中评估了前哨淋巴结活检（SNB）和腋窝清扫术（AC）后运动受限和腋窝网综合征（AWS）的发生率。AWS是腋窝手术后早期术后发病的一种自限性原因。腋窝可触及条索状组织伴有限的活动范围是AWS的典型表现。
共对85例仅接受SNB（49例患者）或接受SNB及AC（36例患者）的乳腺癌患者在手术前后进行了检查。记录了肩部前屈和外展的范围以及AWS的存在情况。
仅接受SNB的患者中有24例（45%）肩部活动范围受限，同时接受AC的患者中有31例（86%）肩部活动范围受限（P = 0.002）。接受SNB的患者中有10例（20%）出现AWS，接受AC的患者中有26例（72%）出现AWS（P <0.00005）。
在SNB组中，观察到的术后早期发病率显著较低。
