乳腺癌术后腋网综合征发生的影响因素分析  

MInfluencing Factors of Axillary Web Syndrome after Breast Cancer Surgery

作　　者：汪志春[1] WANG Zhichun(Jiujiang NO.1 People’s Hospital,Jiujiang 332000,China)

机构地区：[1]江西省九江市第一人民医院,江西九江332000

出　　处：《中国医学创新》2021年第17期30-33,共4页Medical Innovation of China

摘　　要：目的:探讨乳腺癌患者术后腋网综合征发生的影响因素。方法:选择2017年6月-2020年12月乳腺癌患者153例作为研究对象,入选患者均选择改良根治术或保乳根治术治疗,术后随访并完善有关检查,观察术后腋网综合征发生情况。查阅所有患者的病历资料,统计患者年龄、肿瘤部位、体重指数(BMI)、手术方式、腋窝术式、淋巴结转移、肿瘤分期、淋巴结清扫数、是否化疗及是否放疗,并进行单因素及多因素分析。结果:153例乳腺癌患者,术后发生腋网综合征36例(23.53%)。单因素分析显示,发生与未发生腋网综合征患者的年龄、BMI、手术方式、腋窝术式、淋巴结清扫数及淋巴结转移比较,差异均有统计学意义(P<0.05)。多因素logistic分析显示,年龄、手术方式、腋窝术式、淋巴结清扫数及淋巴结转移均是乳腺癌患者术后发生腋网综合征的独立危险因素,而BMI是保护因素(P<0.05)。结论:乳腺癌患者术后腋网综合征发生率较高,年龄、手术方式、腋窝术式、淋巴结清扫数及淋巴结转移是腋网综合征发生的危险因素,而BMI是保护因素。Objective:To investigate the influencing factors of axillary web syndrome in breast cancer patients after operation.Method:A total of 153 breast cancer patients from June 2017 to December 2020 were selected as the study subjects.All the enrolled patients were treated with modified radical resection or breastconserving radical resection,followed up and improved relevant examinations after surgery,and the incidence of postoperative axillary reticular syndrome was observed.Medical records of all patients were reviewed,and age,tumor site,body mass index(BMI),surgical method,axillary surgery,lymph node metastasis,tumor stage,number of lymph node dissection,chemotherapy and radiotherapy were counted,and univariate and multivariate analyses were performed.Result:Of 153 breast cancer patients,36 cases(23.53%)developed axillary reticulum syndrome after surgery.The univariate results showed that there were statistically significant differences in age,BMI,surgical method,axillary surgery,number of lymph node dissections and lymph node metastasis between patients with and without axillary reticular syndrome(P<0.05).Multivariate logistic analysis showed that age,operation method,axillary surgery,number of lymph node dissections and lymph node metastasis were all independent risk factors for the occurrence of postoperative axillary web syndrome in breast cancer patients,while BMI was a protective factor(P<0.05).Conclusion:The incidence of axillary web syndrome is higher in breast cancer patients after surgery.Age,surgical method,axillary surgery,number of lymph node dissections and lymph node metastasis are risk factors for the occurrence of axillary web syndrome,while BMI is a protective factor.

关 键 词：乳腺癌 改良根治术 腋网综合征 

分 类 号：R737.9[医药卫生—肿瘤]