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| Observation of the "Y" Reconstructive Method to Treat the Axillary Scar Contracture After Breast Cancer Surgery |
| DAI Xiao-qiang; LI Hong-mei |
| Xianyang Center Hospital,Xianyang Shaanxi 712000 |
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Abstract 【Objective】To observe the effects of the "Y" reconstructive method, "Z" plasty method, and touching wall exercise method on the treatment of the axillary scar contracture after breast cancer surgery. Movement of the shoulder joint after these three kinds of treatment was observed to evaluate the effectiveness of the treatment. 【Methods】Seventy-eight patients in our hospital from March of 2008 to November of 2012 were retrospectively analyzed in this study. The 78 patients were randomly divided into three groups: group A used the "Y" reconstructive method, group B used the "Z" plasty, and group C used the touching-the-wall method. Patients in both group A and B were given the external fixation support after the, drugs to prevent and control scar hyperplasia, and started exercise in the early stages. The patients in Group C only did the touching-the-wall exercise. Three months later, we began to observe and analyze the outcomes. The curative evaluation standards we incorporated can be divided into four grades: cured with an obvious effect, better effect, some effect, and no effects. 【Results】Among the 28 patients of Group A, 18 of them were cured with obvious effect, 8 had better effects and 2 of them had some effect-the cure rate was 64.29%. Among the 27 patients of Group B, 12 were cured, 8 had better effects effect and 7 of them had some effect-the overall cure rate was 44.44%. Among the 23 patients of Group C, 5 were cured, 9 had better effects, and 9 had some effect. The cure rate was 21.74%. The statistical analysis showed that the cure rate of group A was significantly higher than group B and group C(P<0.05). Though the cure rate was also higher in group B than in group C, the difference was not statistically significant (P>0.05).【Conclusion】The "Y" reconstructive method is superior to both the "Z" plasty and touching-the-wall exercise in treating axillary scar contractures after breast cancer surgery. The "Y" reconstructive method can optimally improve shoulder joint movement which was formerly inhibited by axillary scar contractures.
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Received: 14 January 2016
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2017, Vol. 34 
