中医外治治疗乳腺癌术后上肢淋巴结水肿：临床疗效、作用机制与展望
TCM External Therapies for Post-Mastectomy Upper Limb Lymphedema: Clinical Efficacy, Mechanistic Insights, and Future Research Directions
DOI: 10.12677/acm.2026.1693199, PDF,    科研立项经费支持
作者: 陈 艳, 高志鹏, 宁珊珊, 王宇坤*：广西中医药大学第一附属医院甲状腺乳腺外科，广西 南宁
关键词: 乳腺癌根治术后；上肢淋巴结水肿；中医外治；作用机制；研究进展；Post-Mastectomy； Upper Limb Lymphedema； TCM External Therapies； Mechanism of Action； Research Advancements
摘要: 目前乳腺癌发病率逐年上升，严重威胁女性健康，根治术是重要治疗手段，可提高患者生存率。然而，术后上肢淋巴水肿常发，影响患者生活质量，传统治疗手段疗效不尽人意。随着中医体系逐渐完善，中医外治对该疾病展现出独特的优势和一定的临床疗效。因此，本文聚焦中医外治，对近年来中医外治治疗乳腺癌术后上肢淋巴结水肿的相关临床实验及机制研究进行综述，为临床提供参考，也为其规范化和推广应用提供思路。
Abstract: The rising global incidence of breast cancer continues to jeopardize women’s health, with radical mastectomy remaining a cornerstone treatment to enhance survival outcomes. However, postoperative upper limb lymphedema (ULL), a prevalent complication, significantly compromises patients’ quality of life, while conventional therapies exhibit limited clinical efficacy. Recent advancements in Traditional Chinese Medicine (TCM) theoretical frameworks have positioned external therapies as a promising intervention, demonstrating unique therapeutic advantages and quantifiable clinical benefits in managing this condition. This review synthesizes contemporary clinical studies and mechanistic investigations on TCM external therapies for post-mastectomy ULL, aiming to establish evidence-based clinical references and propose actionable strategies for standardizing therapeutic protocols and advancing global implementation.
文章引用：陈艳, 高志鹏, 宁珊珊, 王宇坤. 中医外治治疗乳腺癌术后上肢淋巴结水肿：临床疗效、作用机制与展望[J]. 临床医学进展, 2026, 16(9): 1589-1596. https://doi.org/10.12677/acm.2026.1693199

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