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目的探讨乳腺癌根治术后部分患者患侧肩关节功能障碍的手法治疗效果。方法对45例乳腺癌根治术后并发肩关节功能障碍的患侧行揉、搓、推、拿、按、牵等手法,治疗2～8疗程,对比治疗前后患侧肩关节功能障碍程度的改善情况。结果手法治疗可有效改善乳腺癌根治术后并发肩关节功能障碍的程度,与治疗前相比,上举平均增加32°,外展平均增加17°,外旋平均增加13°。治疗优良率达80%,良7例(16%),差2例(4%)。结论手法治疗对乳腺癌根治术后并发肩关节功能障碍有较好的疗效。
Objective To investigate the manual treatment effects of ipsilateral shoulder joint dysfunction in patients after radical mastectomy. Methods Forty-five patients with shoulder dysfunction after radical mastectomy were treated with kneading, licking, pushing, holding, pressing, pulling and other techniques. Treatment was performed for 2 to 8 courses. The degree of ipsilateral shoulder joint dysfunction was improved before and after treatment. Happening. Results Manipulation treatment can effectively improve the degree of shoulder joint dysfunction after radical mastectomy. Compared with before treatment, the average increase was 32°, the average outreach was 17°, and the average external rotation was 13°. The excellent rate of treatment was 80%, good in 7 cases (16%), and poor in 2 cases (4%). Conclusion Manipulation has good curative effect on shoulder dysfunction after radical mastectomy.