van der Horst C M, Kenter J A, de Jong M T, Keeman J N
Neth J Surg. 1985 Aug;37(4):105-8.
A prospective clinical trial was conducted to determine the effect of axillary node dissection for breast carcinoma on shoulder function and seroma production. 59 Operations were carried out in 57 patients. The patients were divided into two groups. In group A, shoulder exercises were started, under the guidance of a physiotherapist, immediately following surgery, and in group B the exercises were begun on the seventh postoperative day. A full range of motion within six months was achieved in 25 patients of group A (81%) and in 22 of group B (79%). There was no significant difference in wound drainage between the two groups. Restricted shoulder movement was often seen after local wound complications following axillary radiotherapy or after seriously disturbed wound healing.
进行了一项前瞻性临床试验，以确定乳腺癌腋窝淋巴结清扫术对肩部功能和血清肿形成的影响。对57例患者进行了59次手术。患者分为两组。A组在物理治疗师的指导下，术后立即开始肩部锻炼，B组在术后第7天开始锻炼。A组25例患者（81%）和B组22例患者（79%）在6个月内实现了全范围活动。两组伤口引流情况无显著差异。腋窝放疗后局部伤口出现并发症或伤口愈合严重受干扰后，常可见肩部活动受限。
