The incidence and influencing factors of axillary reticular syndrome after breast cancer surgery:a systematic review
10.3969/j.issn.1671-8283.2025.02.004
- VernacularTitle:乳腺癌术后患者腋网综合征发生率及其影响因素的系统评价
- Author:
Yuying SUN
1
;
Yeting WANG
;
Xiaojuan QIAO
;
Yu XU
;
Bei YANG
;
Qiuyue SONG
;
Yaofeng ZHU
Author Information
1. 吉首大学医学院,湖南 湘西,416000
- Publication Type:Journal Article
- Keywords:
breast cancer;
axillary web syndrome;
systematic review
- From:
Modern Clinical Nursing
2025;24(2):31-39
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the incidence and influencing factors of axillary web syndrome(AWS)in postoperative breast cancer patients,and to provide evidence for reducing the incidence of axillary web syndrome.Methods A computer search was performed in China National Knowledge Infrastructure(CNKI),VIP,Wanfang,SinoMed,PubMed,Medline,Scopus,The Cochrane Library,Web of Science,Embase,searched for articles on AWS influencing factors of breast cancer published from the establishment of the database to January 6th,2025.The articles were screened according to the inclusion and exclusion criteria.Revman5.4 and Stata17.0 were used for systematic review.Results Fifteen studies involving 3979 breast cancer patients and 1 156 patients with AWS were included.The results of the Meta-analysis showed that there was significant statistical heterogeneity among the included studies(I2=97.0%,P<0.0001).Using the random effects model,the incidence of AWS was 32.2%[95%CI(0.24,0.40),P<0.0001].The influencing factors for AWS after breast cancer surgery are age,body mass index(BMI),total mastectomy,lymph node metastasis,and neoadjuvant chemotherapy.NAC),axillary lymph node dissection(ALND),and the number of harvested axillary lymph nodes.Conclusion The incidence of AWS after breast cancer surgery was high.Clinicians should give early nursing to the influencing factors,reduce the incidence of AWS and improve patients'quality of life after surgery.
