降低乳腺癌术后淋巴水肿新技术——腋窝反向淋巴制图的研究进展  

Research progress of axillary reverse mapping: A new technique to minimize arm lymphedema after breast cancer surgery

作　　者：贾苗苗(综述)[1] 梁至洁(综述)[1] 陈钦(综述)[1] 曹旭晨(审校)[1] 

机构地区：[1]天津医科大学肿瘤医院乳腺肿瘤一科,国家肿瘤临床医学研究中心,乳腺癌防治教育部重点实验室,天津市300060

出　　处：《中国肿瘤临床》2014年第3期211-214,共4页Chinese Journal of Clinical Oncology

基　　金：天津市自然科学基金项目(编号:11JCZDJC28000)资助~~

摘　　要：腋窝反向淋巴制图(axillary reverse mapping,ARM)技术是指在腋窝淋巴结切除术(axillary lymph node dissection,ALND)和/或前哨淋巴结切除术(sentinel lymph node dissection,SLND)中显示上肢淋巴管道并对其予以保护,从而降低术后上肢淋巴水肿发生率,是针对乳腺癌手术治疗的一项新兴技术,目前仍处于临床试验阶段。本文回顾了近年来国外相关临床试验,分析ARM淋巴结和淋巴管的显示方法,评估保留ARM淋巴结和淋巴管的可行性,评价ARM技术对降低乳腺癌术后上肢淋巴水肿发生率的临床意义。Axillary reverse mapping （ARM） is a technique used to map and preserve arm lymphatic drainage during axillary lymph node dissection （ALND） and/or sentinel lymph node dissection （SLND）. As a result, the risk of arm lymphedema is reduced. ARM is an emerging technology for breast cancer surgery and currently in the clinical trial phase. In this article, related clinical trials conducted in recent years were reviewed and the displaying methods of ARM lymph nodes and lymphatic vessels were analyzed. The feasibility of retained ARM lymph nodes and lymphatic vessels was also evaluated. Furthermore, the clinical significance of ARM was evaluated in terms of the reduction of the incidence of upper extremity lymphedema after breast cancer surgery.

关 键 词：乳腺癌 腋窝反向淋巴制图 淋巴结 淋巴管 上肢淋巴水肿 

分 类 号：R737.9[医药卫生—肿瘤]