Abstract:
Objective To analyze the risk factors for the occurrence of axillary web syndrome (AWS) in patients after radical mastectomy for breast cancer by logistic regression, and provide more references for the clinical development of targeted prevention and treatment measures.
Methods A total of 200 cases of patients with breast cancer were selected to analyze the influencing factors of AWS after radical mastectomy.
Results The incidence of AWS in patients after radical mastectomy was 29%. Logistic regression analysis showed that MBI ＜ 24 kg/m2, axillary lymph node dissection (ALND), number of lymph nodes dissected ≥15, lymph node metastasis, and radiotherapy were the independent risk factors for the occurrence of postoperative AWS in patients undergoing radical mastectomy for breast cancer, while early postoperative rehabilitation of the affected limb and standardized shoulder exercise on the affected limb after surgery were the protective factors.
Conclusion Clinicians should strictly control the indications for ALND surgery to reduce the rate of performing ALND. Adjuvant chemotherapy can be performed preoperatively to inhibit the tumor, and postoperative lymphatic fluid reflux should be closely monitored to prevent obstruction of lymphatic fluid reflux as well as inflammatory reactions, and attention should be paid to early postoperative functional exercises to reduce the risk of postoperative AWS.
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