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Đối tượng và phương pháp: Nghiên cứu tiến cứu mô tả trên 5 bệnh nhân nữ bị phù bạch mạch chi trên sau phẫu thuật ung thư vú, được điều trị bằng kỹ thuật nối bạch mạch - tĩnh mạch dưới kính hiển vi siêu vi phẫu. Đánh giá lâm sàng trước và sau can thiệp trong thời gian theo dõi 6 tháng. Kết quả: Cả 5 bệnh nhân đều ghi nhận sự cải thiện rõ rệt về các tiêu chí lâm sàng bao gồm: Chu vi cánh tay giảm trung bình 2,5 ± 0,8cm (từ 31,2 ± 2,1cm xuống 28,7 ± 1,6cm, p<0,01), chu vi cẳng tay giảm 2,3 ± 0,7cm (từ 25,6 ± 1,8cm xuống 23,3 ± 1,4cm, p<0,01), cảm giác nặng tay cải thiện đáng kể (từ 7,8 ± 1,0 điểm xuống 3,1 ± 0,9 điểm, p<0,001), mức độ đau giảm (từ 4,6 ± 1,2 điểm xuống 1,3 ± 0,5 điểm, p<0,001), độ mềm mô mềm tăng (từ 2,1 ± 0,6 điểm lên 4,4 ± 0,4 điểm, p<0,001), và 80% bệnh nhân (4\u002F5) không còn cần sử dụng băng ép thường xuyên, cải thiện chất lượng cuộc sống. Không có biến chứng nghiêm trọng sau mổ. Kết luận: Kỹ thuật siêu vi phẫu nối bạch mạch - tĩnh mạch là một phương pháp điều trị an toàn và hiệu quả trong kiểm soát phù bạch mạch sau phẫu thuật ung thư vú.","Objective: To report the outcomes of supermicrosurgical treatment for lymphedema in five post-mastectomy patients at Viet Tiep Friendship Hospital. Subject and method: A prospective descriptive study on 5 female patients with upper limb lymphedema after breast cancer surgery. All underwent lymphaticovenular anastomosis (LVA) using supermicrosurgical technique. Clinical evaluation was performed pre- and post-operatively with a 6-month follow-up. Result: All patients showed significant improvement in limb swelling, circumference reduction, and quality of life. No major complications were observed. 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