腔镜下乳腺癌前哨淋巴结活体组织检查的应用及临床效果观察  

Application and Clinical Observation on Sentinel Lymph Node Biopsy of Breast Cancer by Cavity Mirror

作　　者：孙爱军[1] 黄选东[1] 宋勇罡 

机构地区：[1]江苏淮安市第二人民医院普外科,淮安223002

出　　处：《中国医药导刊》2013年第10期1617-1618,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨在腔镜下乳腺癌前哨淋巴结活体组织检查（活检）的临床价值及临床效果。方法：对2007年1月-2012年12月在我院行乳腺癌前哨淋巴结活检的400病例,112例为腔镜下活检288例为开放活检,采用亚甲蓝法和放射性核素＋亚甲蓝联合法对前哨淋巴结进行探测。结果：腔镜下活检组亚甲蓝法检出率为87.86%,亚甲蓝法和放射性核素联合法检出率为95.76%；开放活检组亚甲蓝法检出率为85.03%,亚甲蓝法和放射性核素联合法检出率为95.53%；开放活检组检出前哨淋巴结数量亚甲蓝法平均1.95枚/例,联合法平均1.89枚/例,；腔镜组则分别为1.93枚/例和1.81枚/例。上述两组间各指标的差异均无统计学意义（P〉0.05）。腔镜组术后患皮下积液概率高于开放组。结论：腔镜下乳腺癌前哨淋巴结活检与传统乳腺癌前哨淋巴结活检安全性与临床效果相似,但腔镜下乳腺癌前哨淋巴结活检能较好地满足患者的美观要求,腔镜下乳腺癌前哨淋巴结活检在临床上值得推广。Objective：To investigate the cavity in sentinel lymph node biopsy in breast cancer clinical effect.Methods：In our line of the sentinel lymph node biopsy,400 cases of breast cancer,112 cases for biopsy under the cavity mirror,288 cases of open biopsy,with methylene blue method and radionuclide＋methylene blue method to detect the sentinel lymph node.Results：Under the cavity mirror biopsy group of methylene blue method detection rate was 87.86%,the methylene blue method and joint method of radioactive nuclide detection rate is 95.76%;Open group of methylene blue method detection rate was 85.03%,the methylene blue method and joint method of radioactive nuclide detection rate is 95.53%;Open group of sentinel lymph node detection quantity methylene blue method,on average,1.95/cases,combined method,an average of 1.89/case;Cavity mirror group were 1.93 and 1.81/rings/cases.There were no statistically significant difference （P〉0.05）.Conclusion：Breast cancer sentinel lymph node biopsy under the cavity mirror and the traditional security sentinel lymph node biopsy for breast cancer and clinical results are similar,but the cavity mirrors the sentinel lymph node biopsy for breast cancer has good beauty,is worth promoting.

关 键 词：腔镜手术 乳腺癌 前哨淋巴结 活检 

分 类 号：R737.9[医药卫生—肿瘤]