乳腺癌根治术诱发对侧上肢原发性淋巴水肿加重一例  

Aggravated Primary Lymphedema of Contralateral Upper Limb After the Radical Mastectomy:A Case Report

作　　者：刘颖 潘伟人 关竞红[3] 赵沃娃 龙笑[4] LIU Ying;PAN Weiren;GUAN Jinghong;ZHAO Wowa;LONG Xiao(Department of Rehabilitation Medicine,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Anatomy,Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Breast Surgery,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Plastic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医院康复医学科,北京100730 [2]徐州医学院解剖学系,江苏徐州221004 [3]中国医学科学院北京协和医院乳腺外科,北京100730 [4]中国医学科学院北京协和医院整形外科,北京100730

出　　处：《协和医学杂志》2022年第2期320-323,共4页Medical Journal of Peking Union Medical College Hospital

基　　金：中国医学科学院医学与健康科技创新工程(2020⁃I2M⁃C&T⁃B⁃041)。

摘　　要：淋巴水肿是近年来康复医学领域广泛关注的热点问题,以手法淋巴引流(manual lymphatic drainage,MLD)为关键技术的淋巴水肿综合消肿治疗正在全国各地迅速开展。本文报道1例由一侧乳腺癌根治手术诱发对侧躯干和上肢原发性淋巴水肿加重的罕见病例,患者通过MLD治疗获得缓解。通过回顾本病例诊治过程,可加深对淋巴水肿发病机制复杂性的认识,并为临床个体化诊疗提供借鉴。Lymphedema is a hot issue that has attracted wide attention in the field of rehabilitation medi⁃cine in recent years.The complex decongestive therapy of lymphedema including manual lymphatic drainage(MLD)as the key technology is developing rapidly all over the country.We report a rare case of aggravated primary lymphedema in the contralateral limb and trunk after radical mastectomy.The patient achieved remission through MLD treatment.By reviewing the diagnosis and treatment of this case,we can deepen the un⁃derstanding of the complexity of the pathogenesis of lymphedema and provide reference for individualized diag⁃nosis and treatment of lymphedema.

关 键 词：原发性淋巴水肿 乳腺癌相关淋巴水肿 手法淋巴引流 

分 类 号：R737.9[医药卫生—肿瘤] R493[医药卫生—临床医学]