关键词: 乳腺癌, 淋巴水肿, 综合保守治疗, 淋巴管静脉吻合术, 肢体减容整形术, 分期手术

Abstract:

Actively dealing with lymphedema after breast cancer operation        Sun Yu-guang, SHEN Wen-bin. Department of Lymphatic Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China
Corresponding author: SHEN Wen-bin, E-mail：swb_216@163.com
Abstract    Breast cancer may be curable, but lymphedema is not curable by now. Usually,the diagnosis of lymphedema is not difficult though  perfect physical examination and exclusive diagnostic techniques, without the need for professional diagnostic techniques. But the effect of lymphedema therapy is not always satisfactory. Conservative therapy, such as complex decongestive therapy (CDT), is usually accepted, then the diagnosis and treatment technique have got great improvement, such as emission computed tomography(ECT), MRI, lymphantic-vein-anastomasis (LVA),liposuction and lymph node transplantation. For dealing with the obstruction of lymph circulation, impairment of lymphatic vessels, lymphatic stasis, adipose hyperplasia and fibrillation caused by lymphedema, we developed staging operation: stage Ⅰ, liposuction to reduce volume; stage Ⅱ, deep lymphatic vessel-tributary of brachial vein-anastomasis, to improve the lymphatic circulation. Most of our lymphedema cases got obvious remission. The principle of diagnosis and therapy of lymphedema is changing currently, actively dealing with lymphedema after breast cancer is a trend.

Key words: breast cancer, lymphedema, complex decongestive therapy, lymphantic-vein-anastomasis, liposuction, staging operation