空气波压力疗法在乳腺癌改良根治术后患侧上肢丹毒治疗中的应用  

Application value of air wave pressure therapy in treatment of upper limb erysipelas on operated side following modified radical mastectomy

作　　者：温健[1] 张竞宇[1] 范莹[1] 王娇[1] 赵嫚[1] 涂巍[1] 

机构地区：[1]中国医科大学附属第四医院乳腺外科,辽宁沈阳110032

出　　处：《中国普通外科杂志》2017年第5期614-618,共5页China Journal of General Surgery

摘　　要：目的:探讨乳腺癌改良根治术后患侧上肢丹毒采用常规治疗联合空气波压力治疗的临床效果。方法:回顾性分析2013年1月—2016年6月就诊于中国医科大学附属第四医院的乳腺癌改良根治术后患侧上肢丹毒的18例患者资料。其中10例采取常规方案进行丹毒治疗(常规治疗组),8例在常规治疗方案的基础上联合患侧上肢空气波压力治疗(联合治疗组)。比较两组患者的相关临床指标。结果:两组患者年龄、放疗比例、皮肤破损、体质量指数、基础疾病及患肢水肿程度差异均无统计学意义(均P>0.05)。所有18例患者经治疗后均达显著好转,联合治疗组平均住院时间明显短于常规治疗组(10.9 d vs.14.5 d,P=0.001)。结论:联合空气波压力治疗能够进一步提高乳腺癌改良根治术后上肢丹毒的临床治疗效果,并有效缩短治疗时间。Objective： To investigate the clinical efficacy of regular treatment plus air wave pressure therapy for erysipelas of the upper limb on the operated side following modified radical mastectomy for breast cancer. Methods： The data of 18 breast cancer patients undergoing modified radical mastectomy who developed postoperative erysipelas of the upper limb on the operated side in the Fourth Affiliated Hospital of China Medical University from January 2013 to June 2016 were retrospectively analyzed. Of the patients, 10 patients underwent regular treatment for erysipelas （regular treatment group）, and 8 cases received air wave pressure therapy on the basis of regular treatment （combined treatment group）. The main clinical variables between the two groups of patients were compared.Results： ＂Ihere was no significant difference between the two groups of patients in terms of age, proportion ofradiotherapy cases, skin damage, body mass index, underlying diseases and severity of edema of the affected upper limb （all P〉0.005）. The conditions of all the 18 patients were significantly improved after treatment, but the average length of hospital stay in combined treatment group was significantly shortened compared with regular treatment group （10.9 d vs. 14.5 d, P=0.001）. Conclusion： Combined air wave pressure therapy can remarkably improve the treatment effect on upper limb erysipelas following modified radical mastectomy and effectively reduce the treatment time.

关 键 词：乳腺肿瘤 乳房切除术 改良根治性 丹毒 淋巴水肿 

分 类 号：R737.9[医药卫生—肿瘤]