乳腺癌患者腋网综合征的评估及治疗

【资料图】

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体格检查

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辅助检查

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筛查问卷的使用

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评估的频次

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疼痛

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肩关节功能状态

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手臂容积与淋巴水肿

根据 AWS发生是由于淋巴管损伤的假说，AWS患者应是发生淋巴水肿的高危人群，为预防、治疗 AWS患者的手臂容积的增加及淋巴水肿，常采用手法淋巴引流，其通过作用于淋巴管及淋巴腺体，刺激淋巴回流,促进血液循环，缓解 AWS的临床症状。

[1]熊倩,罗凤.乳腺癌患者腋网综合征评估及治疗的研究进展[J].护理学杂志,2021,36(03):111-113.

[2]Huang HC, Liu HH, Yin LY, Yeh CH, Tu CW, Yang CS. The upper-limb volumetric changes in breast cancer survivors with axillary web syndrome.Eur J Cancer Care (Engl). 2017;26(2):10.1111/ecc.12637.

[3]Furlan C, Matheus CN, Jales RM, Derchain S, Sarian LO. Vascular Alterations in Axillary and Brachial Vessels in Patients with Axillary Web Syndrome After Breast Cancer Surgery.Lymphat Res Biol. 2018;16(3):287-293.

[4]Bergmann A, Mendes VV, de Almeida Dias R, do Amaral E Silva B, da Costa Leite Ferreira MG, Fabro EA. Incidence and risk factors for axillary web syndrome after breast cancer surgery.Breast Cancer Res Treat. 2012;131(3):987-992.

[5]Figueira PVG, Haddad CAS, de Almeida Rizzi SKL, Facina G, Nazario ACP. Diagnosis of Axillary Web Syndrome in Patients After Breast Cancer Surgery: Epidemiology, Risk Factors, and Clinical Aspects: A Prospective Study.Am J Clin Oncol. 2018;41(10):992-996.

[6]Koehler LA, Haddad TC, Hunter DW, Tuttle TM. Axillary web syndrome following breast cancer surgery: symptoms, complications, and management strategies.Breast Cancer (Dove Med Press). 2018;11:13-19. Published 2018 Dec 20.

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