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| Effect of Selective Axillary Lymph Node Preservation on Early Postoperative Lymphedema in Patients with Breast Cancer |
| LIAO Yu-ling, HUANG Qing-wei, DAI Li-na |
| Department of breast surgery,Huizhou first people's hospital,Huizhou city516001,Guangdong province,China |
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Abstract 【Objective】To discuss the effect of selective axillary lymph node retention on early postoperative lymph node edema in breast cancer patients.【Methods】From May 2013 to February 2016, 136 patients with early breast cancer were divided into two groups: arm group (n=70, observation group) and ALND group (n=66, control group). All patients were followed up for 6 months. The occurrence of lymphedema and the effect of prevention were compared between the two groups. One week (T0), one month (T1) and six months (T2) after operation, MP, C-15 and the SUM of the two groups were compared. Lbcq and FACT-B were used to evaluate the severity and quality of life of the patients at T0~T2 baseline. 【Results】The increase percentage of MP, C-15 and SUM in the affected side decreased gradually (P<0.05). The increase percentage of MP, C-15 and SUM in the observed group was lower than that in the control group at T0~T2 (P<0.05). The LBCQ score of the two groups decreased gradually (P<0.05), and the FACT-B score increased gradually (P<0.05). The LBCQ score of the observation group was lower than that of the control group at T0~T2 (P<0.05), and the FACT-B score was higher than that of the control group (P<0.05). The incidence of upper extremity edema was 7.14% (5 / 70) in the observation group and 24.24% (16 / 66) in the control group 6 months after operation, the difference was statistically significant (χ2 = 4.204,P=0.04<0.05). The excellent and good rate of edema prevention in the observation group was 88.57% (62/70) higher than that in the control group 69.70% (46 / 66). The difference was statistically significant (χ2=7.402,P=0.007<0.05).【Conclusion】Selective preservation of axillary lymph nodes can prevent and reduce the incidence and degree of postoperative lymphedema in the upper extremity of patients with early breast cancer, and improve the quality of life after operation.
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Received: 23 July 2018
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2020, Vol. 37 
