乳腔镜前哨淋巴结活检术的临床应用  

Clinical application of mastoscopic axillary sentinel lymph node biopsy

作　　者：张键[1] 骆成玉[1] 林华[1] 薛镭[1] 杨齐[1] 黄璇[1] 邹日成[1] 张泽斌[1] 周永桥[1] 丁毅[1] 潘邦杰[1] 张士淮[1] 李晶[1] 

机构地区：[1]首都医科大学附属复兴医院普外科,100038

出　　处：《中华外科杂志》2004年第13期799-801,共3页Chinese Journal of Surgery

摘　　要：目的　探讨经乳腔镜前哨淋巴结活检的可行性及应用前景。方法　应用亚甲蓝染色法检测 6 2例乳腺癌患者的前哨淋巴结 (SLN)。在乳腔镜下切除SLN ,随后行乳腔镜腋窝淋巴结清扫 ,SLN、腋窝淋巴结同时行HE染色 ,评价SLN检出率及假阴性率。结果　 6 2例患者 6 1例检出前哨淋巴结 ,成功率 98 4 %。无腋窝淋巴结转移者 35例 ,转移 2 7例 ,假阴性率 0。结论　乳腔镜前哨淋巴结活检检出率高 ,美容效果好 ,并发症低 ,对于乳腺癌腋窝淋巴结转移有较高的敏感性 。Objective To evaluate the technique and significance of mastoscopic axillary sentinel lymph node biopsy. Methods Sixty two patients with breast cancer use methylene blue to test axillary sentinel lymph node. Sentinel lymph node was moved with endoscopy, and endoscopic axillary lymph nod dissection was performed. Pathological examination of sentinel lymph node and axillary lymph node was made with HE. To eveluate detection rate and false negative rate in sentinel lymph node. Results Among the 62 patients, 61 were confirmed by endoscopic axillary sentinel lymph nod biopsy. Detection rate was 98 4%. Thirty five cases were no metastasis, 27 cases were metastasis, false negative rate was 0. Conclusions Mastoscopic axillary sentinel lymph node biopsy has a high detection rate, good efficiency of cosmetic and lower complications. It has higher sensitivity than traditional axillary lymph nod dissection and provide accurate lymph node stages.

关 键 词：乳腺肿瘤 内窥镜检查 前哨淋巴结活组织检查 可行性 亚甲蓝染色法 诊断 

分 类 号：R737.9[医药卫生—肿瘤]