Objective To discuss the clinical effect of venous-lymphatic anastomose in radical mastectomy of stage 1 in predicting postoperative upper limb lymphedema. Methods 80 cases of patients with breast cancer admitted and treated in our hospital from September 2013 to July 2014 were divided into two groups with 40 cases in each according to the admis-sion order, the control group were treated with radical mastectomy, the observation group were treated with venous-lymphat-ic anastomose in radical mastectomy of stage 1 on the basis of the control group, both groups were followed up for 12 months, and the indexes related to operation and postoperative upper limb lymphedema were compared between the two groups. Results The operation time and intraoperative blood loss in the control group were obviously lower than those in the observation group [(100.5±14.6) min, (190.2±34.3) mL vs (169.5±17.4) min, (357.8±42.7) mL], and the differences were ob-vious, P<0.05; the incidence rate of upper limb lymphedema in the control group was obviously higher than that in the ob-servation group (27.5% vs 7.5%), and the difference was obvious, P<0.05. Conclusion The effect of venous-lymphatic anas-tomose in radical mastectomy of stage 1 is obvious, which can effectively reduce the incidence rate of postoperative upper limb lymphedema.%目的：探讨乳腺癌根治术一期静脉淋巴管吻合预防术后患侧上肢淋巴水肿的临床效果。方法方便选取该院2013年9月—2014年7月收治的80例乳腺癌患者按就诊编号分为两组,每组均40例。对照组实施乳腺癌根治术治疗,观察组在对照组的基础上一期实施静脉淋巴管吻合术治疗,对两组均进行12个月的随访。对比两组手术相关指标、术后上肢淋巴水肿情况。结果对照组的手术时间和术中出血量分别为(100.5±14.6)min、(190.2±34.3)mL均明显低于观察组的(169.5±17.4)min、(357.8±42.7)mL,差异有统计学意义(P﹤0.05)；对照组的上肢淋巴水肿发生率为27.5%明显高于观察组的7.5%,差异有统计学意义(P﹤0.05)。结论乳腺癌根治术一期应用静脉淋巴管吻合术治疗效果显著,,有效降低术后上肢淋巴水肿的发生率。
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