超声刀在乳腺癌改良根治术中的应用  

Application of ultrasonically activated scalpel in modified radical mastectomy for breast cancer

作　　者：杨先荣[1] 钟庆琪[1] 李志高[2] 王劲松[2] 

机构地区：[1]福建医科大学附属龙岩第一医院普三科,福建龙岩364000 [2]哈尔滨医科大学附属第三医院乳腺外二科,黑龙江哈尔滨150081

出　　处：《中国现代普通外科进展》2011年第12期952-954,共3页Chinese Journal of Current Advances in General Surgery

摘　　要：目的:通过超声刀(UAS)与电刀(EI)在乳腺癌改良根治术中应用的比较,探讨UAS临床应用价值。方法:回顾性分析福建医科大学附属龙岩第一医院及哈尔滨医科大学附属第三临床医院两院2010年2月—6月收治的行乳腺癌改良根治术患者189例,其中UAS手术治疗组87例,EI手术治疗组102例,比较两组不同手术器械的应用对手术时间、术中出血量、术后引流管留置时间、淋巴结检出数、术后发生胸壁结节状肿物的区别。结果:UAS组与EI组相比,手术时间、术中出血量、术后发生胸壁结节状肿物的差异均有高度统计学意义(P<0.01);引流管留置时间、淋巴结检出数差异均有统计学意义(P<0.05)。结论:乳腺癌改良根治术采用UAS可明显减少胸壁结节状肿物的发生,符合快速康复外科理念,提高患者生活质量,改善医患关系。Objective： Through comparing the application of the ultrasonic scalpel（UAS） and electric knives（EI） in the modified radical mastectomy for breast cancer,we explored the clinical value of ultrasonically activated scalpel in the modified radical mastectomy for breast cancer.Methods： From February 2010 to June 2010,189 patients with breast cancer underwent modified radical mastectomy at the First Affiliated Hospital in Longyan of Fujian Medical University and The Affiliated Third Hospital of Harbin Medical University.Among them,ultrasonically activated scalpel group included 87 patients,and electrotome group had 102 cases.Between the two groups,we compared the differences of two different surgical instruments application about the operation time,volume of bleed drainage during operation,postoperative drainage tube indwelling time,the amount number of lymph nodes detected and postoperative chest wall nodules.Results： Comparing ultrasonically activated scalpel group with electrotome group,there were highly significant differences in operation time,volume of bleed drainage during operation and the incidence of postoperative chest wall nodular（P〈0.01）.There were significant differences in postoperative drainage tube indwelling time and the amount number of lymph nodes detected（P〈0.05）.Conclusion： Using ultrasonically activated scalpel in modified radical mastectomy is consistent with fast track surgery conception and can reduce the incidence of chest wall nodules,improve the quality of patients’ life and the physician-patient relationship.

关 键 词：乳腺癌 超声刀 改良根治术 快速康复外科 

分 类 号：R737.9[医药卫生—肿瘤]