乳腺癌改良根治术后患肢抽血及静脉开放的临床价值  

Clinical value of blood sampling and vein opening in affected limb after modified radical mastectomy

作　　者：陈敏[1] CHEN Min(Department of Mammography,Sichuan Provincial People’s Hospital,Sichuan Academy of Medical Sciences,Sichuan Province,Chengdu 610072,China)

机构地区：[1]四川省医学科学院·四川省人民医院乳腺科,四川成都610072

出　　处：《妇儿健康导刊》2023年第10期84-86,89,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的探讨乳腺癌改良根治术后患肢抽血及静脉开放的临床价值。方法回顾性分析2018年4月至2022年6月四川省人民医院实施的乳腺癌改良根治术(单乳切除+同侧腋窝淋巴结清扫)患者60例,按照抽血及静脉开放部位不同分为两组,其中患侧肢体抽血及静脉开放者30例(观察组),健侧肢体者30例(对照组)。统计两组穿刺成功率,比较两组后患侧上肢外展与后伸角度,统计两组并发症总比例,如输液外渗、静脉炎、严重疼痛和部位淤血,比较两组术后25 d开放静脉时及出院时患侧臂围变化。结果观察组一次穿刺成功率低于对照组(P<0.05),二次穿刺成功率高于对照组(P<0.05)。两组穿刺未成功比例比较,差异无统计学意义(P>0.05)。两组后患侧肩关节外展与后伸角度以及肘关节屈曲角度比较,差异无统计学意义(P>0.05)。两组发生输液外渗、静脉炎、严重疼痛和部位淤血的总比例比较,差异无统计学意义(P>0.05)。两组术后25 d开放静脉时及出院时患侧臂围比较,差异无统计学意义(P>0.05)。结论乳腺癌改良根治术后选择患侧肢体抽血与开放静脉,在确保穿刺成功率前提下,并不影响患侧肢体运动,且不增加术后肢体水肿,并发症少,具有一定可行性。Objective To explore the clinical value of blood sampling and vein opening in affected limb after modified radical mastectomy.Methods Retrospective analysis was made on 60 patients with modified radical mastectomy(single mastectomy plus ipsilateral axillary lymph node dissection)in Sichuan Provincial People’s Hospital from April 2018 to June 2022 and they were divided into two groups according to the different site of blood sampling and vein opening,including 30 cases with blood sampling and vein opening in the affected limb(observation group)and 30 cases in the healthy limb(control group).The puncture success rates of the two groups were counted,and the abduction and extension angles of the affected upper limbs were compared.The puncture complications of the two groups were counted,such as transfusion extravasation,phlebitis,severe pain and blood stasis at the puncture site.The changes of the arm circumference of the affected side were compared between the two groups when the vein was opened on the 25 d after operation and when discharged from hospital.Results The first-time success rate of puncture in the observation group was lower than that in the control group(P<0.05),and the second-time success rate of puncture was higher than that in the control group(P<0.05).There was no significant difference in the unsuccessful puncture ratio between the two groups(P>0.05).There was no significant difference in the abduction and extension angle of shoulder joint and elbow flexion angle between the two groups after puncture(P>0.05).There was no significant difference in the total proportion of transfusion extravasation,phlebitis,severe pain and blood stasis at puncture site between the two groups(P>0.05).There was no significant difference in the arm circumference of the affected side between the two groups when the vein was opened on the 25 d after operation and when discharged from hospital(P>0.05).Conclusion After modified radical mastectomy,it is feasible to select the affected limb for blood sampling and vein open

关 键 词：乳腺癌改良根治术 术后 患侧肢体 抽血 静脉开放 

分 类 号：R737.9[医药卫生—肿瘤]