摘要目的 探讨乳腺癌术后继发上肢淋巴回流改变的相关危险因素.方法 2014年5月至2015年5月共117例行乳腺癌手术,对其患侧上肢采用近红外荧光成像法造影,其结果根据Yamamoto评判方法进行判定.通过Logistic回归方式对比分析术侧继发上肢淋巴水肿的危险因素.结果 117例中36例淋巴回流发生改变,发生率为30.8％(36/117).其与高BMI、放疗、行腋窝淋巴结清扫(axillary lymph node dissection,ALND)呈正相关性(P＜0.05).结论 高BMI、放疗、行ALND为乳腺癌术后上肢淋巴回流改变的危险因素.年龄及优势手臂与乳腺癌术后上肢淋巴回流改变发生无关.

abstractsObjective To investigate the risk factors of secondary upper limb lymph circulation pattern after breast cancer surgery.Methods 117 cases undergoing breast cancer surgery from May 2014 to May 2015 were studied.Circumferential fluorescent images of lymphatic drainage channels were obtained by an near infrared fluorescence imaging system.Characteristic findings were analyzed according to Yamamoto evaluation method.Logistic multivariate regression analysis was used to analyze the risk factors of secondary lymnphedema.Results 36 out of the 117 patients had lymph flow changes,and the incidence was 30.8％ (36/117).Surgeryrelated lymphedema was positively correlated with obesity,radiotherapy,and axillary lymph node dissection (ALND) (P＜0.05).Conclusion Significant related factors are:obesity,radiotherapy,ALND,while age,and advantage arm are not related to arm dermal backflow pattern.