乳腺癌术后上肢淋巴水肿的影响因素分析  

Analysis of influencing factors of upper limb lymphedema postoperative breast cancer

作　　者：李贺娟 杨颖涛 LI Hejuan;YANG Yingtao(Department of Breast Surgery,the Fifth Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou 450000,China)

机构地区：[1]郑州大学第五附属医院乳腺外科,河南郑州450000

出　　处：《妇儿健康导刊》2025年第8期98-101,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析乳腺癌术后患者出现上肢淋巴水肿的影响因素,为临床防治工作提供指导。方法回顾性收集2018年6月至2022年6月在郑州大学第五附属医院施行乳腺癌根治术的90例乳腺癌患者的临床资料,根据术后是否发生上肢淋巴水肿分为发生组(20例)与未发生组(70例),通过单因素和多因素分析乳腺癌术后上肢淋巴水肿的影响因素。结果体重指数、术后并发症(感染/积液/延迟愈合)、腋窝淋巴结转移、合并高血压、术后接受上肢功能锻炼与乳腺癌术后上肢淋巴水肿有关(P<0.05)。多因素分析显示,体重指数≥24 kg/m^(2)、发生术后并发症(感染/积液/延迟愈合)、存在腋窝淋巴结转移、合并高血压是乳腺癌术后上肢淋巴水肿的独立危险因素,术后接受上肢功能锻炼是乳腺癌术后上肢淋巴水肿的保护因素(P<0.05)。结论体重指数≥24 kg/m^(2)、发生术后并发症(感染/积液/延迟愈合)、存在腋窝淋巴结转移及合并高血压可导致乳腺癌术后发生上肢淋巴水肿,术后接受上肢功能锻炼可降低乳腺癌术后上肢淋巴水肿的发生风险。Objective To analyze the influencing factors of upper limb lymphedema postoperative breast cancer,and to provide guidance for clinical prevention and treatment.Methods The clinical data of 90 patients with breast cancer who underwent radical mastectomy for breast cancer in the Fifth Affiliated Hospital of Zhengzhou University from June 2018 to June 2022 were retrospectively collected.All the patients were divided into the occurrence group(20 cases)and the non-occurrence group(70 cases)according to whether the occurrence of upper limb lymphedema postoperative.Through univariate analysis and multivariate analysis,the influencing factors of upper limb lymphedema postoperative breast cancer were analyzed.Results Body mass index,postoperative complications(infection/effusi on/delayed healing),axillary lymph node metastasis,hypertension,and postoperative upper limb functional exercise were associated with upper limb lymphedema postoperative breast cancer(P<0.05).Multivariate analysis showed that body mass index≥24 kg/m^(2),occurrence of postoperative complications(infection/effusion/delayed healing),presence of axillary lymph node metastasis,and combined hypertension were the independent risk factors for upper limb lymphedema postoperative breast cancer,and postoperative receipt of upper limb functional exercise was the protective factor for upper limb lymphedema postoperative breast cancer(P<0.05).Conclusion Body mass index≥24 kg/m^(2),occurrence of postoperative complications(infection/effusion/delayed healing),presence of axillary lymph node metastasis,and combined hypertension can lead to the occurrence of upper limb lymphedema postoperative breast cancer.Postoperative receipt of upper limb functional exercise can reduce the risk of upper limb lymphedema postoperative breast cancer.

关 键 词：乳腺癌术后 上肢淋巴水肿 影响因素 

分 类 号：R736.3[医药卫生—肿瘤]