综合淋巴消肿疗法在乳腺癌术后上肢淋巴水肿患者中的应用

王鑫 高佳

[关键词] 淋巴水肿;乳腺癌;临床效果;综合淋巴消肿

[中图分类号] R473.73;R730          [文献标识码] B          [文章编号] 1673-9701（2021）21-0073-04

Application of comprehensive decongestive lymphatic therapy in patients with upper limb lymphedema after breast cancer surgery

WANG Xin1   GAO Jia2

1.Department of Breast Surgery， Jiamusi Maternal and Child Health Hospital，Jiamusi   154002， China; 2.Department of Mammary gland， Hechuan Maternal and Child Health Hospital， Chongqing   401520， China

[Abstract] Objective To study the effect and application of comprehensive decongestive lymphatic therapy in the clinical treatment of upper limb lymphedema after breast cancer surgery. Methods A total of 32 patients with lymphedema of upper limbs after breast cancer surgery in our hospital from September 2017 to September 2019 were selected.All patients were treated with comprehensive decongestive lymphatic therapy.The clinical effect before and after treatment was observed and compared，including the patient's tissue water ratio，circumference ratio，circumference above and below the elbow stripes，underarm circumference，the circumference of tiger's mouth and above the wrist stripes， Bathel index and Fugl-Meyer score. Results Compared with before treatment，the tissue water ratio and circumference ratio of patients with upper limb lymphedema was shorter after treatment.The application effect of comprehensive decongestive lymphatic therapy was better （P<0.05）. After treatment，patients with upper limb lymphedema after breast cancer surgery had shorter circumferences above the elbow stripes，below the elbow stripes，underarms，tiger's mouth，and upper wrist stripes （P<0.05）. Compared with before treatment， the Bathel index and Fugl-Meyer score of patients with upper limb lymphedema after breast cancer surgery were higher （P<0.05）. Conclusion The comprehensive decongestive lymphatic therapy has an ideal application effect.It is of great significance for improving the clinical symptoms of patients and relieving lymphedema of the upper limbs.It has a definite impact and is worth popularizing in clinical treatment.

[Key words] Lymphedema; Breast cancer; Clinical effect; Comprehensive decongestive lymphatic therapy

乳腺癌是我國临床中，属于多发的一种女性肿瘤疾病，我国每年新发乳腺癌约26.9万例，死亡约7.0万例，40～60岁女性为高发年龄段人群，且愈加年轻化，该疾病是发生在乳腺腺上皮组织的恶性肿瘤疾病[1]。腋窝淋巴结清扫治疗是我国现阶段治疗乳腺癌的标准方式之一，但术后少数患者容易发生上肢淋巴水肿情况，这将对患者的疾病恢复造成不良影响[2]。近年来综合淋巴消肿疗法广泛应用于临床相关疾病治疗中，其对于乳腺癌术后上肢淋巴水肿患者具有良好的临床疗效[3]。根据相关报告指出，将综合淋巴消肿疗法应用于乳腺癌术后上肢淋巴水肿疾病的临床治疗中，疗效确切。同时有利于促进滞留组织淋巴水肿回流，改善肢体肿胀情况。但此方面报告少之又少，仍缺乏相关临床依据。在本次实验中，对研究组和对照组32例乳腺癌术后上肢淋巴水肿患者的治疗效果展开讨论和分析，其目的在于研究综合淋巴消肿方案对于乳腺癌术后上肢淋巴水肿疾病的临床疗效，现报道如下。