Analysis of current situation and influencing factors of upper limb lymphedema in patients with breast cancer after operation
Objective To investigate the current situation and influencing factors of upper limb lymphedema in patients with breast cancer after operation.Methods A total of 121 patients with breast cancer who were admitted in our hospital from February 2021 to August 2023 were selected as the study objects by cross-sectional cluster sampling.The clinical data of the patients were collected,and multivariate Logistic regression analysis was used to analyze the influencing factors of upper limb lymphedema in breast cancer patients after operation.Results Among 121 patients with breast cancer,23 patients had upper limb lymphedema after operation,with an incidence of 19.01%.The patients were divided into occurrence group(n=23)and non-occurrence group(n=98)according to whether upper limb lymphedema occurred after operation.The age of the occurrence group was older than that of the non-occurrence group,and the proportion of body mass index(BMI)≥24 kg/m2,the proportion of axillary lymph node dissection,the number of lymph nodes dissected,the proportion of postoperative adjuvant radiotherapy and the proportion of postoperative healing complications were higher than those of the non-occurrence group(P<0.05).Multivariate Logistic regression analysis results showed that age,BMI,axillary lymph node dissection,number of lymph nodes dissected,postoperative adjuvant radiotherapy and postoperative healing complications were risk factors for upper limb lymphedema in patients with breast cancer after operation(P<0.05).Conclusion The incidence of upper limb lymphedema in breast cancer patients after operation is high.Age,BMI,axillary lymph node dissection,number of lymph nodes dissected,postoperative adjuvant radiotherapy and postoperative healing complications may affect the occurrence of upper limb lymphedema in breast cancer patients after operation,and targeted strategies should be implemented as early as possible to control it in clinic.
breast cancerupper limb lymphedemaLogistic regression modelsurgical treatment
万方数据
维普
