Pasko Jennifer L, Garreau Jennifer, Carl Amy, Ansteth Mindy, Glissmeyer Margaret, Johnson Nathalie
Division of Surgical Oncology, Department of General Surgery, Legacy Good Samaritan Hospital, Portland, OR, USA.
Division of Surgical Oncology, Department of General Surgery, Legacy Good Samaritan Hospital, Portland, OR, USA.
Am J Surg. 2015 May;209(5):890-5. doi: 10.1016/j.amjsurg.2015.01.011. Epub 2015 Feb 24.
Lymphedema is a feared complication of many patients following axillary lymph node dissection for breast cancer. Axillary reverse lymphatic mapping (ARM) was adopted to decrease the incidence of lymphedema.
A retrospective review was conducted on 139 patients with breast cancer who had greater than 10 lymph nodes removed. A survey was sent to patients to identify those with lymphedema.
One hundred nine women were contacted via mail survey to determine the presence of lymphedema. Of the 46 surveys returned, the incidence of lymphedema was 39%. Twenty-seven percent of the ARM group identified themselves as having lymphedema compared with 50% in non-ARM group. Eighteen percent of women in the ARM group needed an arm sleeve for treatment compared with 45.8% in the non-ARM group.
The incidence of perceived lymphedema and the need for arm compression sleeve devices were lower in the ARM cohort. ARM should be adopted to decrease patient perception of lymphedema.
淋巴水肿是许多乳腺癌患者腋窝淋巴结清扫术后令人担忧的并发症。采用腋窝逆向淋巴绘图（ARM）以降低淋巴水肿的发生率。
对139例切除淋巴结超过10枚的乳腺癌患者进行回顾性研究。向患者发送调查问卷以确定淋巴水肿患者。
通过邮件调查联系了109名女性以确定淋巴水肿情况。在46份回复的调查问卷中，淋巴水肿发生率为39%。ARM组中27%的患者认为自己有淋巴水肿，而非ARM组为50%。ARM组中18%的女性需要使用手臂袖套进行治疗，而非ARM组为45.8%。
ARM队列中自觉淋巴水肿的发生率及对手臂加压袖套装置的需求较低。应采用ARM以降低患者对淋巴水肿的感知。
