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目的综述乳腺癌术后上肢淋巴水肿的治疗与预防进展。方法广泛查阅近年来国内外对乳腺癌术后上肢淋巴水肿治疗及预防的相关研究文献,并进行分析总结。结果近年,上肢淋巴水肿的治疗以综合性抗淋巴瘀滞疗法为主,辅以药物或手术治疗,疗效确切。前哨淋巴结活检术、腋窝反向淋巴作图技术、淋巴管静脉吻合术已被用于预防淋巴水肿的发生,近期疗效稳定,远期疗效尚需进一步验证。结论临床对淋巴水肿的处理已由治疗转变为主动预防,其中淋巴管静脉吻合术预防淋巴水肿有较好前景。
Objective To summarize the treatment and prevention of postoperative upper limb lymphedema in breast cancer. Methods Extensive access to literature review on the treatment and prevention of postoperative upper limb lymphedema in recent years at home and abroad, and analysis and summary. Results In recent years, the treatment of upper extremity lymphedema with comprehensive anti-lymphatic stasis therapy, supplemented by drugs or surgery, the exact effect. Sentinel lymph node biopsy, axillary lymph mapping technology, lymphatic venous anastomosis has been used to prevent the occurrence of lymphedema, the recent stable and long-term efficacy needs further verification. Conclusion The clinical treatment of lymphedema has changed from treatment to active prevention, and lymphatic venous anastomosis has a good prospect of preventing lymphedema.