Hoe A L, Iven D, Royle G T, Taylor I
University Surgical Unit, Royal South Hampshire Hospital, Southampton, UK.
Br J Surg. 1992 Mar;79(3):261-2. doi: 10.1002/bjs.1800790326.
Arm swelling was measured using volume determination in 118 patients following mastectomy (n = 60) or wide excision (n = 58), both with axillary clearance. The mean age was 60.5 years and the median follow-up was 22.5 months. Axillary clearance removed level III nodes. Axillary irradiation was given to only three patients with extensive (more than 75 per cent) nodal involvement. The incidence of early postoperative complications was 18.6 per cent. The incidence of lymphoedema was 7.6 per cent (nine patients). Three of these patients had early lymphoedema within 6 months of treatment. Arm circumference differences correlated poorly with volume differences. The incidence of lymphoedema following axillary clearance is low and comparable to that for sampling or no axillary surgery.
在118例接受乳房切除术（n = 60）或广泛切除术（n = 58）且均进行腋窝清扫的患者中，通过体积测定法测量手臂肿胀情况。平均年龄为60.5岁，中位随访时间为22.5个月。腋窝清扫清除了Ⅲ级淋巴结。仅3例有广泛（超过75%）淋巴结受累的患者接受了腋窝放疗。术后早期并发症的发生率为18.6%。淋巴水肿的发生率为7.6%（9例患者）。其中3例患者在治疗后6个月内出现早期淋巴水肿。手臂周长差异与体积差异的相关性较差。腋窝清扫后淋巴水肿的发生率较低，与取样或未进行腋窝手术的情况相当。
