Salmon Remy J, Berry Mg, Hamelin Jean-Pierre
Department of Surgery, Institut Curie, Paris, France.
Breast J. 2009 Jul-Aug;15(4):381-4. doi: 10.1111/j.1524-4741.2009.00741.x.
Mondor's disease is an uncommon complication of breast and axillary surgery. Although self-limiting, the subcutaneous cords may be both painful and functionally limiting for the patient. Numerous pharmacologic approaches have been tried, but without widespread success, and we wished to evaluate the non-invasive technique of manual axial distraction in such patients. Thirty consecutive patients with axillary Mondor's disease following surgery were treated solely with this technique by the senior author (RJS) over a 24-month period. Mean age was 45 years (range 32-72) with 27 having undergone formal axillary dissection and three sentinel node biopsy. 25 (83.3%) were successfully treated with a single procedure, three (10%) with two and two (6.7%) with three procedures. we present the initial results of the novel technique of manual axial distraction that has been found to be efficacious and without adverse effect. It provides a rapid and definitive cure in postoperative Mondor's disease.
蒙多氏病是乳房和腋窝手术中一种罕见的并发症。虽然该病具有自限性，但皮下索状硬结可能会给患者带来疼痛且限制其功能。人们尝试了多种药物治疗方法，但并未广泛取得成功，因此我们希望评估针对此类患者的非侵入性手法轴向牵张技术。在24个月的时间里，资深作者（RJS）仅采用该技术对30例术后腋窝蒙多氏病患者进行了治疗。患者平均年龄为45岁（范围32 - 72岁），其中27例行正规腋窝淋巴结清扫术，3例行前哨淋巴结活检。25例（83.3%）经单次治疗成功，3例（10%）经两次治疗成功，2例（6.7%）经三次治疗成功。我们展示了手法轴向牵张新技术的初步结果，该技术已被证明有效且无不良反应。它能为术后蒙多氏病提供快速且确切的治愈效果。
