乳腺癌术后淋巴囊肿:危险因素评估

Sidy Ka
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摘要

研究目的:乳房切除术合并腋窝淋巴结清扫术后的主要并发症是淋巴囊肿,可在术后持续数月。本研究的目的是分析影响其产生的因素。方法:61例患者纳入我们的研究。随访6个月。所有患者均行乳腺切除术并腋窝淋巴结清扫术。所有数量的淋巴囊肿在术后住院和门诊护理已被记录。收集了与病人、疾病和治疗有关的因素。结果:2018年1月至6月在达喀尔约里奥居里研究所接受乳腺癌手术的61例患者(61例)被纳入我们的研究。在与患者相关的因素中,淋巴囊肿的产生对肥胖患者和aPTT(部分凝血活素时间)延长的患者更为显著。手术标本的重量从1001到1250克与更高的产量相关。对于更广泛的解剖也是如此。手术因素和化疗均不影响淋巴囊肿的产生。然而,长期使用吸式排液会导致更显著的产量。结论:术后淋巴囊肿的产生是异质的,因人而异。然而,有几个因素可能影响这种淋巴囊肿的产生。这些因素与病人、疾病和治疗有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Post-Mastectomy Lymphocele after Breast Cancer Surgery: Risk Factors Evaluation
Aim of study: The main postoperative complication of mastectomies with axillary lymph node dissection is the lymphocele that can last many months after the operation. The purpose of our study was to analyze the factors that can contribute to its production. Methods: Sixty-one patients have been included in our study. The follow-up was 6 months. All patients had a mastectomy with axillary node dissection following the Madden technique. All quantities of lymphoceles during postoperative hospitalization and ambulatory care have been noted. Factors linked to patient, disease and treatment have been collected. Results: Sixty-one patients (61) operated at Joliot Curie Institute of Dakar between January and June of 2018 for breast cancer have been included in our study. Amongst the factors linked to patients, the lymphocele production is more significant for obese patients and those with prolonged aPTT (partial thromboplastin time). The weight of surgical specimens from 1001 to 1250 g was associated with greater production. It was the same for a more extensive dissection. Neither surgical factors nor chemotherapy influenced the lymphocele production. However, the extended use of a suction drain causes a more significant production. Conclusion: The production of postoperative lymphocele is heterogenous, varying from a patient to another. Nevertheless, several factors may influence the production of this lymphocele. These factors are bound to patient, sickness and treatment.
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