论文部分内容阅读
目的了解乳腺癌根治手术加放射治疗患者上肢并发症的发病情况及其影响因素。方法对于接受根治或改良根治术后加放射治疗且放射治疗后已超过1年(中位数2.8年)的74例乳腺癌患者,从症状和体征两个方面进行了观测,并应用多因素回归分析相关的发病因素。结果患者上肢水肿的发生率在症状和体征检查中均约为50%,肩关节功能下降分别为49%和58%,患者年龄和全腋窝照射是发生上肢水肿与肩关节运动障碍的独立影响因素。结论上肢水肿和肩关节运动障碍是乳腺癌根治性手术加放射治疗后较常见的并发症,腋窝处理中减少正常组织的损伤以预防或降低其发生率,应该予以高度重视。
Objective To investigate the incidence and influencing factors of upper limb complications in patients undergoing radical operation and radiation therapy of breast cancer. Methods 74 patients with breast cancer undergoing radical or modified radical mastectomy plus radiotherapy and more than 1 year after radiotherapy (median 2.8 years) were observed from two aspects of symptoms and signs, and multivariate regression Analysis of the relevant risk factors. Results The incidence of upper extremity edema was about 50% in symptom and physical examination and 49% and 58% reduction in shoulder joint function, respectively. Patients’ age and total axillary irradiation were the independent influencing factors of upper extremity edema and shoulder dyskinesia . Conclusions Upper extremity edema and shoulder dyskinesia are the more common complications after radical operation and radiation therapy in breast cancer. In the treatment of axillary lesions, the damage of normal tissues should be reduced to prevent or reduce the incidence. Therefore, great attention should be paid to upper extremity edema and shoulder movement disorders.