Department of Breast Surgery, Huizhou Municipal Central People's Hospital, Huizhou, China.
Int Wound J. 2023 Jan;20(1):183-190. doi: 10.1111/iwj.13862. Epub 2022 Jul 1.
The aim of the study was to explore the application value of manual lymphatic drainage combined with vacuum sealing drainage in axillary web syndrome (AWS) after breast cancer surgery. From 1 April 2020 to 1 June 2020, a total of 102 patients with AWS after axillary lymph node biopsy or axillary lymph node dissection in our hospital were included in this prospective study. According to the random number table method, all patients were divided into the study group (n = 51) and the control group (n = 51). The study group received the treatment of manual lymphatic drainage combined with vacuum sealing drainage, and the control group received health education and the treatment of functional training. The efficacy observation indicators included duration time to the disappearance of relevant clinical symptoms, degree of pain, angle of abduction of the affected limb, degree of upper limb disability function and quality of life. The duration time to the disappearance of cord-like nodules and tightness in the study group was both significantly shorter than that in the control group (both P < .05). In the time point of 1 and 3 months after the intervention, compared with that in the control group, the study group had a significantly lighter degree of pain, a better degree of upper limb disability function and higher quality of life (all P < .05). Manual lymphatic drainage combined with vacuum sealing drainage can shorten the disappearance time of relevant clinical symptoms, relieve the degree of pain, improve the upper limb disability function and improve the quality of life in patients with AWS.
本研究旨在探讨手动淋巴引流联合真空密封引流在乳腺癌术后腋窝网综合征(AWS)中的应用价值。2020 年 4 月 1 日至 6 月 1 日,我院共纳入 102 例腋窝淋巴结活检或腋窝淋巴结清扫术后 AWS 患者,前瞻性研究。根据随机数字表法,所有患者分为研究组(n=51)和对照组(n=51)。研究组接受手动淋巴引流联合真空密封引流治疗,对照组接受健康教育和功能训练治疗。疗效观察指标包括相关临床症状消失时间、疼痛程度、患肢外展角度、上肢残疾功能程度和生活质量。研究组条索状结节和紧绷感消失时间均明显短于对照组(均 P<.05)。干预后 1、3 个月,研究组疼痛程度明显轻于对照组,上肢残疾功能程度和生活质量明显高于对照组(均 P<.05)。手动淋巴引流联合真空密封引流能缩短 AWS 患者相关临床症状消失时间,减轻疼痛程度,改善上肢残疾功能,提高生活质量。