腋周组织瓣修复时机对乳腺癌淋巴结节清扫患者腋窝外形McCarthy评分、淋巴瘘发生情况的影响  

Influence of repair timing of axillary tissue flap on axillary shape McCarthy score and occurrence of lymphatic fistula in breast cancer patients with lymph node dissection

作　　者：赵苗苗 Zhao Miao-miao(The First Affiliated Hospital of Henan University of Technology(Jiaozuo Second People's Hospital),Jiaozuo 454000,Henan,China)

机构地区：[1]河南理工大学第一附属医院(焦作市第二人民医院),河南焦作454000

出　　处：《四川生理科学杂志》2022年第10期1732-1735,共4页Sichuan Journal of Physiological Sciences

摘　　要：目的:研讨腋周组织瓣不同修复时机对淋巴结节清扫术后乳腺癌(Breast cancer,BC)患者腋窝外形、舒适度及并发症发生风险的影响。方法:选取2019年1月至2021年5月于我院接受乳腺癌淋巴结节清扫术的106例BC患者作为研究对象,按照随机数字表法分为实验组和对照组,各53例。实验组患者术后即刻进行腋周组织瓣修复,对照组术后未进行腋周组织瓣修复。比较两组手术指标、患肢功能障碍程度、腋窝外形(McCarthy评分)、腋窝舒适度(Kolcaba评分)、生活质量满意度及并发症发生情况。结果:相较于对照组,实验组引流时间较短,住院天数、术后引流量较少(P<0.05);术后相较于对照组,实验组患侧肢体活动百分比较小,McCarthy、Kolcaba评分较高(P<0.05);两组并发症总发生率间无明显差异(P>0.05);相较于对照组,实验组淋巴瘘发生率、焦虑占比较低,社交、体型满意度较高(P<0.05)。结论:BC淋巴结节清扫术后即刻进行腋周组织瓣修复能改善术后引流情况,减轻上肢功能障碍,提高患者满意度、舒适度及生活质量,且具有较高安全性。Objective:To study the effect of different repair timing of axillary tissue flap on the axillary shape,comfort and complication risk in breast cancer(BC)patients after lymph node dissection.Methods:One hundred and six BC patients who underwent lymph node dissection for breast cancer in our hospital from January 2019 to May 2021 were selected for the study,and were divided into experimental and control groups according to the random number table method,with 53 cases each.The patients in the experimental group underwent peri-axillary tissue flap repair immediately after surgery,while the control group did not undergo peri-axillary tissue flap repair after surgery.The surgical indexes,degree of functional impairment of the affected limb,axillary shape(McCarthy score),axillary comfort(Kolcaba score),satisfaction with quality of life and complications were compared between the two groups.Results:Compared with the control group,the experimental group had shorter drainage time,fewer days of hospitalization and less postoperative drainage(P<0.05).Compared with the control group,the experimental group had a smaller percentage of limb activity on the affected side,and higher McCarthy and Kolcaba scores(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Compared with the control group,the incidence of lymphatic fistula and the proportion of anxiety in the experimental group were lower,and the satisfaction with social interaction and body shape was higher(P<0.05).Conclusion:Immediate repair of axillary tissue flaps after BC lymph node dissection can improve postoperative drainage,reduce upper limb dysfunction,and improve patient satisfaction,comfort and quality of life,with high safety.

关 键 词：腋周组织瓣 淋巴结节清扫术 乳腺癌 McCarthy评分 

分 类 号：R737.9[医药卫生—肿瘤]