乳腺癌术后上肢水肿诊疗现状分析.doc

文档介绍：乳腺癌术后上肢水肿诊疗现状分析
唐武军,王笑民[通讯作者]* 王笑民,Tel:[phone]; E-mail:ntxm100@
[收稿日期]2006-10-31
(首都医科大学附属北京中医医院肿瘤科,北京,100010)
[摘要] 目的:介绍乳腺癌术后上肢淋巴水肿的诊疗现状。方法:对近10年有关乳腺癌术后患侧上肢淋巴水肿的发病原因、诊断、治疗及预防等方面的资料进行综述。结果:乳腺癌术后上肢淋巴水肿严重危害乳腺癌患者的身心健康和生活质量。按摩、压力泵、微波等物理治疗对轻中度水肿有效,但易反复;药物治疗效果不理想;重症患者可考虑手术治疗。结论:水肿一旦形成则很难治愈,应把工作的重点放在预防上。前哨淋巴结活检术取代腋窝淋巴结解剖,有望从根本上解决上肢淋巴水肿等并发症。
[关键词] 乳腺癌;淋巴水肿;诊疗现状
Current Status of Diagnosis and Treatment in Upper Limb Lymphedema after Mastectomy
Tangwujun, Wangxiaomin. Oncology department of Beijing Chinese Medicine Hospital pertain to Capital Medical University, Beijing, 100010
[Abstract] Objective: To introduce current status of diagnosis and treatment in upper limb lymphedema after mastectomy. Method: To review researches on the pathogenesis, diagnosis, treatment, prevention and so on published in the last ten years. Result: Upper limb lymphedema after mastectomy can severely threaten physical and mental health and life quality of the patients. The mild to moderate dropsy can be effectively treated by massage, booster pump, microwave and other physiotherapies, however they frequently relapse. The medication is not ideal. Severe cases might consider operation. Conclusion: Once the dropsy is generated, it can hardly be cured. Prevention should be the key point. Axillary lymph node dissection (ALDN) can be substituted by the Sentinel Lymph node biopsy(SLNB), which might f