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目的 探讨乳腺癌术后上肢淋巴水肿的治疗方法。 方法 2 0 0 1年6月～2 0 0 3年9月选择乳腺癌术后上肢淋巴水肿2年以上的患者11例,患侧上肢明显水肿,外观增粗,前臂中点周径与健侧平均相差4 .4 cm,上臂中点周径与健侧平均相差6 .6 cm,活动受限,其中2例有丹毒反复发作。利用肿胀吸脂技术,对其水肿的上肢进行皮下组织抽吸去除,术后弹力加压3个月后,改为每晚弹力加压,观察疗效。 结果 经6～15个月随访,11例患者的上肢淋巴水肿明显减轻,外观缩小,平均上臂周径较术前减小4 cm,无丹毒发生。 结论 皮下组织抽吸加适时弹力压迫治疗乳腺癌术后上肢淋巴水肿,方法简便,近期有效
Objective To investigate the treatment of postoperative upper limb lymphedema in breast cancer. Methods From June 2001 to September 2003, 11 patients with upper extremity lymphedema of breast cancer who had been treated for more than 2 years were selected. The upper limbs were obviously edematous and the appearance was thick. The average difference of 4. 4 cm, the upper arm midpoint and healthy contralateral average difference of 6.6 cm, limited mobility, of which 2 cases of recurrent erysipelas. The use of swollen liposuction technique, the edema of the upper extremity tissue removed by suction, after 3 months of elastic compression, changed to elastic compression every night to observe the effect. Results After 6-15 months of follow-up, 11 patients had significantly lower extremity lymphedema and reduced appearance. The average upper arm circumference was reduced by 4 cm compared with that before operation, and no erysipelas occurred. Conclusion Subcutaneous tissue suction plus timely elastic compression of upper limb lymphedema after breast cancer surgery, the method is simple and effective recently