Department of Breast Surgical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China.
Department of Breast Surgery, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Zhengzhou, Henan, 450003, China.
Int J Surg. 2022 Oct;106:106937. doi: 10.1016/j.ijsu.2022.106937. Epub 2022 Sep 22.
Postmastectomy pain syndrome (PMPS) is a common postoperative condition after breast cancer surgery.
The aim of this study was to investigate the incidence rate and risk factors of PMPS, and to propose prevention and treatment methods.
The study included 1790 postoperative breast cancer patients from three hospitals from 2017 to 2021, of which 302 (13.0%) patients with PMPS were included in the study.
Age, breast surgery type, axillary surgery type and radiotherapy are the risk factors of PMPS. Age, radiotherapy and chemotherapy affect the pain degree of PMPS during movement.
For breast cancer patients with high risk factors, pain should be actively prevented during perioperative period. Oral pharmacological agents, multidisciplinary combination therapy, local anesthetics and regional anesthesia are the most common treatment of PMPS.
乳腺癌手术后疼痛综合征（PMPS）是一种常见的术后情况。
本研究旨在探讨 PMPS 的发生率和危险因素，并提出预防和治疗方法。
本研究纳入了 2017 年至 2021 年来自三家医院的 1790 例乳腺癌术后患者，其中 302 例（13.0%）患者患有 PMPS。
年龄、乳房手术类型、腋窝手术类型和放疗是 PMPS 的危险因素。年龄、放疗和化疗会影响 PMPS 患者运动时的疼痛程度。
对于具有高风险因素的乳腺癌患者，应在围手术期积极预防疼痛。口服药物治疗、多学科联合治疗、局部麻醉和区域麻醉是 PMPS 最常见的治疗方法。
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