徒手淋巴引流预防乳腺癌术后腋网综合征的效果

doi:10.3969/j.issn.1006-9771.2017.09.005

Abstract

Abstract: ObjectiveTo explore the effect of manual lymphatic drainage on prevention of postoperative axillary web syndrome of breast cancer. MethodsFrom June to December, 2015, 400 breast cancer patients after modified radical mastectomy were randomly divided into control group (n=200) and intervention group (n=200). The control group accepted routine functional exercise on affected upper limbs, while the intervention group accepted manual lymphatic drainage in addition. The incidence of axillary web syndrome in both groups was compared one, two and three months after operation. ResultsThe incidence of axillary web syndrome was less in the intervention group than in the control group in all the time points after operation (χ²>6.17, P<0.05). ConclusionManual lymphatic drainage can effectively prevent axillary web syndrome in patients with breast cancer after modified radical mastectomy.

Key words: breast cancer, axillary web syndrome, manual lymphatic drainage, modified radical mastectomy

CLC Number:

R737.9

XIN Ming-zhu, ZHANG Hui-zhen, ZHANG Hui-ting, ZHONG Qiao-ling, ZHANG Li-juan, TANG Hai-lin. Effect of Manual Lymphatic Drainage on Preventing Postoperative Axillary Web Syndrome of Breast Cancer[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(9): 1011-1014.

References

[1] 魏盘妹,苏逢锡. 腋网综合征研究进展[J]. 中华乳腺病杂志(电子版), 2012, 6(6): 664-667.
[2] 童璐,张思义,曹战江. 腋窝手术后腋网综合征的治疗及心理干预[J]. 湖北理工学院学报, 2014, 30(3): 57-59.
[3] Leduc O, Fumiere E, Banse S, et al. Identification and description of the axillary web syndrome (AWS) by clinical signs, MRI and US imaging [J]. Lymphology, 2014, 47(4): 164-176.
[4] Cho Y, Do J, Jung S, et al. Effects of a physical therapy program combined with manual lymphatic drainage on shoulder function, quality of life, lymphedema incidence, and pain in breast cancer patients with axillary web syndrome following axillary dissection [J]. Support Care Cancer, 2016, 24(5): 2047-2057.
[5] Moskovitz AH, Anderson BO, Yeung RS, et al. Axillary web syndrome after axillary dissection [J]. Am J Surg, 2001, 181(5): 434-439.
[6] National Lymphedema Network. 18 steps to prevention for upper extremities [EB/OL]. (2003-08-18). [2016-07-07]. http//www/Lymphnet.Org/prevention.
[7] 张丽娟,张惠婷,黄中英,等. 巨大恶性乳腺分叶状瘤围手术期护理[J]. 中国实用护理杂志, 2015, 31(32): 2447-2450.
[8] 张丽娟,黄中英,朱晓丽,等. 徒手淋巴引流预防乳腺癌术后上肢淋巴水肿的效果[J]. 实用医学杂志, 2015, 31(17): 2910-2913.
[9] Zhang L, Fan A, Yan J, et al. Combining manual lymph drainage with physical exercise after modified radical mastectomy effectively prevents upper limb lymphedema [J]. Lymphat Res Biol, 2016, 14(2): 104-108.
[10] 辛明珠,张惠婷,刘凤,等. 多磺酸粘多糖乳膏用于乳腺癌术后腋网综合征的疗效观察[J]. 护理学杂志, 2016, 31(20): 32-34.
[11] Rashtak S, Gamble GL, Gibson LE, et al. From furuncle to axillary web syndrome: shedding light on histopathology and pathogenesis [J]. Dermatology, 2012, 224(2): 110-114.
[12] Nazir SS, Khan M. Thrombosis of the dorsal vein of the penis (Mondor's Disease): A case report and review of the literature [J]. Indian J Urol, 2010, 26(3): 431-433.
[13] Aydogan F, Belli AK, Baghaki S, et al. Axillary web syndrome after sentinel node biopsy [J]. Breast Care (Basel), 2008, 3(4): 277-278.
[14] Yeung WM, Mcphail SM, Kuys SS. A systematic review of axillary web syndrome (AWS) [J]. J Cancer Surviv, 2015, 9(4): 576-598.
[15] Martins DSR, Rezende LF. Assessment of impact of late postoperative physical functional disabilities on quality of life in breast cancer survivors [J]. Tumori, 2014, 100(1): 87-90.
[16] Fukushima KF, Carmo LA, Borinelli AC, et al. Frequency and associated factors of axillary web syndrome in women who had undergone breast cancer surgery: a transversal and retrospective study [J]. Springerplus, 2015, 4: 112.
[17] Torres LM, Mayoral DMO, Coperias ZJ, et al. Axillary web syndrome after axillary dissection in breast cancer: a prospective study [J]. Breast Cancer Res Treat, 2009, 117(3): 625-630.
[18] 严梅,蒋妮,王雪芹,等. 复合护理干预在乳腺癌术后淋巴水肿治疗效果的研究[J]. 护士进修杂志, 2011, 26(12): 1109-1112.
[19] Wei P, Zhu L, Chen K, et al. Axillary web syndrome following secondary breast-conserving surgery: a case report [J]. World J Surg Oncol, 2013, 11: 8.
[20] Fourie WJ, Robb KA. Physiotherapy management of axillary web syndrome following breast cancer treatment: discussing the use of soft tissue techniques [J]. Physiotherapy, 2009, 95(4): 314-320.
[21] O'Toole J, Miller CL, Specht MC, et al. Cording following treatment for breast cancer [J]. Breast Cancer Res Treat, 2013, 140(1): 105-111.
[22] Olszewski WL, Jain P, Ambujam G, et al. Topography of accumulation of stagnant lymph and tissue fluid in soft tissues of human lymphedematous lower limbs [J]. Lymphat Res Biol, 2009, 7(4): 239-245.
[23] Devoogdt N, Christiaens MR, Geraerts I, et al. Effect of manual lymph drainage in addition to guidelines and exercise therapy on arm lymphoedema related to breast cancer: randomised controlled trial [J]. BMJ, 2011, 343: d5326.
[24] Goats GC. Massage–the scientific basis of an ancient art: Part 1. The techniques [J]. Br J Sports Med, 1994, 28(3): 149-152.
[25] Torres LM, Yuste SM, Zapico GA, et al. Effectiveness of early physiotherapy to prevent lymphoedema after surgery for breast cancer: randomised, single blinded, clinical trial [J]. BMJ, 2010, 340: b5396.

Effect of Manual Lymphatic Drainage on Preventing Postoperative Axillary Web Syndrome of Breast Cancer

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