腋窝手术后腋网综合征的治疗及心理干预  

Treatment and Psychological Intervention for Patients with Axillary Web Syndrome after Axillary Lymph Mode Dissection

作　　者：童璐[1] 张思义[1] 曹战江[2] 

机构地区：[1]黄石市妇幼保健院乳腺科,湖北黄石435003 [2]北京协和医院普外科,北京100730

出　　处：《湖北理工学院学报》2014年第3期57-59,共3页Journal of Hubei Polytechnic University

摘　　要：探讨腋窝手术后腋网综合征治疗的必要性及对患者的心理影响,为减少术后生理及心理的不适反应提供良好的临床模式。选取黄石市妇幼保健院2012年3月至2013年11月65例腋窝手术患者,分2组,其中乳腺癌改良根治术+腋窝淋巴结清扫组25例,副乳腺切除术组40例,患者全部为女性。对部分病人行对症治疗,并对部分病人行相关心理干预。结果为:所有病例术后总发病率为16.9%,缓解率为100%,发现腋网综合征后病例不良情绪为54.5%。尽管腋网综合征为自限性临床综合征,但通过积极对症处理及术前即开始心理介入,均能早期获得症状的缓解,同时减轻术后不良心理影响。Objective ： To discuss the necessity of the treatment and the impact on the patients with axillary web syndrome after axillary lymph mode dissection, and to provide good clinical patterns to reduce postoperative physiological and psychological reaction. Method： 65 female patients after axiilary lymph mode dissection from March 2012 to November 2013 were divided into two groups randomly. One group included 25 patients with breast cancer modified radical operation and axillary lymph node dissection, and the other group included 40 patients with deputy mammary gland resection. Some patients were treated with the psychological intervention, and the other with symptomatic therapy. Result： The incidence of axillary web syndrome was 16.9% , and the remission rate was 100%. Unhealthy emotions occurred in 54.5% of the patients with axillary web syndrome. Conclusion ： Although axillary web syndrome is a kind of self - healing disease, positive symptomatic therapy and psychological intervention before operation could induce early remission and reduce the adverse psychological impact.

关 键 词：腋窝手术 腋网综合征 对症治疗 心理干预 

分 类 号：R619.9[医药卫生—外科学]