CAJ | 학술논문

目的：探究接受保乳手术的乳腺癌妇女发生乳房水肿的影响因素。方法利用高频率超声波（ HFUS）评估54例保乳术乳腺癌患者在放疗之前，期间和之后的乳房水肿情况。结果2级淋巴结清扫或前哨淋巴结清扫术后出现伤口感染的患者在放疗前出现乳房水肿，放疗期间及放疗后水肿加重，放疗后4～6个月达到高峰。乳房水肿的时间与淋巴结清扫术程度，术后伤口感染和局部放射治疗相关。多数水肿是由于排水淋巴管及腋窝淋巴结清扫的程度引起的。结论 HFUS可量化保乳术并发症，如减少水肿程度，具有一定的临床价值。
목적：탐구접수보유수술적유선암부녀발생유방수종적영향인소。방법이용고빈솔초성파（ HFUS）평고54례보유술유선암환자재방료지전，기간화지후적유방수종정황。결과2급림파결청소혹전초림파결청소술후출현상구감염적환자재방료전출현유방수종，방료기간급방료후수종가중，방료후4～6개월체도고봉。유방수종적시간여림파결청소술정도，술후상구감염화국부방사치료상관。다수수종시유우배수림파관급액와림파결청소적정도인기적。결론 HFUS가양화보유술병발증，여감소수종정도，구유일정적림상개치。
Objective To explore the factors for breast edema in breast cancer patients treated with breast conserving surgery.Methods High-frequency ultrasound ( HFUS) was used to assess breast edema in 54 cases breast cancer patients trea-ted with breast conserving surgery before,during and after radiotherapy.Results Patients with postoperative wound infection trea-ted with grade 2 lymph node dissection or sentinel lymph node dissection had breast edema before radiotherapy,and aggravated during radiotherapy and after radiotherapy,and peaked in 4~6 months.Breast swelling time and the extent of lymph node dissec-tion and postoperative wound infection and local radiotherapy were related.Most edema were due to drainage of lymphatic edema, and axillary lymph node dissection extent.Conclusion HFUS can quantify breast conserving surgery complications,such as re-ducing edema,and it has some clinical value.