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目的比较前哨淋巴结活检术与腋窝淋巴结清扫术后乳腺癌患者的患侧上肢肿胀程度,为早期乳腺癌患者手术治疗的应用价值和前哨淋巴结活检术的开展提供数据支持。方法选取2013年1-9月在某科治疗的106例早期乳腺癌出院患者为研究对象,根据两种不同的手术方式分为两组,两组患者出院后均不给予任何干预措施,对两组患者术后半年、1年的患侧上肢肿胀程度进行数据采集和对比。结果两组患者术后患侧上肢肿胀程度差异有统计学意义(P<0.05)。结论乳腺癌患者行前哨淋巴结活检术后的患侧上肢肿胀发生率低,能明显减轻传统腋窝淋巴结清扫术带来的患侧上肢肿胀程度,对提高患者生活质量具有重要意义。
Objective To compare the swelling degree of upper limbs in patients with breast cancer after sentinel lymph node biopsy and axillary lymph node dissection to provide data support for the surgical treatment of patients with early breast cancer and the development of sentinel lymph node biopsy. Methods A total of 106 patients with early stage breast cancer who were treated in a certain department from January to September 2013 were selected as study subjects and divided into two groups according to two different operation methods. No patients were given any intervention after discharge, Group of patients after six months, 1 year of the affected side of the upper limb swelling degree of data collection and comparison. Results There was significant difference in swelling degree of upper limbs between the two groups (P <0.05). CONCLUSIONS: The incidence of upper limb swelling in patients with breast cancer after SLNB is low, which can significantly reduce the extent of upper limb swelling caused by traditional axillary lymph node dissection, which is of great significance for improving patients’ quality of life.