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乳腺癌相关性淋巴水肿:进展与未决问题。

Breast cancer-related lymphoedema: advances and outstanding issues.

机构信息

Freelance Medical Writer and Journalist.

出版信息

Br J Community Nurs. 2024 Oct 1;29(Sup10):S26-S28. doi: 10.12968/bjcn.2024.0107.

DOI:10.12968/bjcn.2024.0107
PMID:39498554
Abstract

Optimal management of breast cancer-related lymphoedema (BCRL), a common and debilitating complication of surgery and radiotherapy, depends on early detection, personalised risk assessment and proactive intervention. For instance, a recent review advises healthcare professionals to reframe the narrative about the daily-living skin trauma risks away from 'what to avoid' to 'what to do'. Another review recommends daily, or nearly daily, exercise at home to reduce lymphoedema severity. However, several questions await full answers. There is, for instance, no consensus regarding the most appropriate surgical technique for preventing BCRL. This feature summarises some recent papers updating healthcare professionals about BCRL.

摘要

乳腺癌相关淋巴水肿(BCRL)是手术和放疗的常见且使人虚弱的并发症,其最佳管理取决于早期发现、个性化风险评估和积极干预。例如,最近的一篇综述建议医疗保健专业人员重新构建有关日常生活中皮肤创伤风险的叙述,将其从“避免什么”转变为“做什么”。另一篇综述建议每天在家中进行运动,以减轻淋巴水肿的严重程度。然而,仍有几个问题需要明确答案。例如,在预防 BCRL 方面,哪种手术技术最合适,目前尚无共识。本专题总结了一些最近的论文,为医疗保健专业人员提供了有关 BCRL 的最新信息。

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1
Breast cancer-related lymphoedema: advances and outstanding issues.乳腺癌相关性淋巴水肿:进展与未决问题。
Br J Community Nurs. 2024 Oct 1;29(Sup10):S26-S28. doi: 10.12968/bjcn.2024.0107.
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Evidence for the clinical effectiveness of decongestive lymphoedema treatment for breast cancer-related arm lymphoedema, a systematic review.有临床疗效证据表明,消肿淋巴疗法对乳腺癌相关上肢淋巴水肿有效,一项系统评价。
Support Care Cancer. 2024 Aug 2;32(8):568. doi: 10.1007/s00520-024-08759-x.
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The effect of exercise and educational programs for breast cancer patients on the development of breast cancer-related lymphoedema: secondary endpoint from a randomized controlled trial in the Setouchi Breast Project-10.运动和教育计划对乳腺癌患者发生乳腺癌相关淋巴水肿的影响:从海湾地区乳腺癌项目 10 中的一项随机对照试验的次要终点。
Breast Cancer. 2024 Sep;31(5):969-978. doi: 10.1007/s12282-024-01610-5. Epub 2024 Jul 9.
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Breast cancer-related lymphoedema and resistance exercise: An evidence-based review of guidelines, consensus statements and systematic reviews.乳腺癌相关淋巴水肿与抗阻运动:基于证据对指南、共识声明及系统评价的综述
J Clin Nurs. 2023 May;32(9-10):2208-2227. doi: 10.1111/jocn.16437. Epub 2022 Jul 27.
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BE-WEL trial (breast: evaluation of weight and exercise for lymphoedema) testing weight control and exercise programmes for women with breast cancer related lymphoedema: a feasibility trial.BE-WEL 试验(乳房:体重评估和运动治疗淋巴水肿)测试针对乳腺癌相关淋巴水肿妇女的体重控制和运动方案:一项可行性试验。
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What are the economic burden and costs associated with the treatment of breast cancer-related lymphoedema? A systematic review.乳腺癌相关淋巴水肿的治疗费用和经济负担有哪些?一项系统评价。
Support Care Cancer. 2020 Feb;28(2):439-449. doi: 10.1007/s00520-019-05101-8. Epub 2019 Oct 28.
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Reducing rates of chronic breast cancer-related lymphedema with screening and early intervention: an update of recent data.通过筛查和早期干预降低慢性乳腺癌相关淋巴水肿的发生率:最新数据更新。
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Integrated Treatment of Breast Cancer-related Lymphedema: A Descriptive Review of the State of the Art.乳腺癌相关淋巴水肿的综合治疗:现状描述性综述。
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Bioimpedance Spectroscopy for Assessment of Breast Cancer-Related Lymphedema: A Systematic Review.生物阻抗光谱法评估乳腺癌相关性淋巴水肿:系统评价。
Plast Surg Nurs. 2020 Apr/Jun;40(2):86-90. doi: 10.1097/PSN.0000000000000306.
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Effectiveness of physical exercise programmes in reducing complications associated with secondary lymphoedema to breast cancer: a protocol for an overview of systematic reviews.运动方案对减少乳腺癌相关继发性淋巴水肿并发症的有效性:系统评价概述的方案。
BMJ Open. 2023 Jul 10;13(7):e071630. doi: 10.1136/bmjopen-2023-071630.

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