上肢淋巴水肿是乳腺癌根治术后的一种常见并发症,其危险因素包括手术方式、放疗、术后并发症、体质量指数等。临床治疗较棘手,至今仍无根治的方法。目前主要的治疗方法有非手术和手术疗法,乳腺癌术后上肢淋巴水肿首先采用非手术的机械物理等疗法,对非手术疗法效果较差的患者可采用外科治疗。治疗方法各有优缺点,其中利用显微外科技术的血管化淋巴结移植成为研究热点。 Upper extremity lymphedema is a common complication after radical mastectomy. The risk factors include operation mode, radiotherapy, postoperative complications, body mass index and so on. Clinical treatment is more difficult, so far there is no cure. At present, the main treatment methods are non-surgical and surgical treatment of upper extremity lymph node edema after breast cancer first non-surgical mechanical and physical therapy, non-surgical treatment of patients with poor results can be surgical treatment. Treatment methods have their own advantages and disadvantages, of which the use of microsurgery vascularized lymph node transplantation has become a research hot spot.