腋筋膜肿胀法清扫淋巴结减少乳腺癌改良根治术后并发症的临床研究  

Axillary fascia swelling applied in cleaning lymph nodes for reducing complications after modified radical mastectomy

作　　者：张晨芳[1] 寇晓梅[1] 柯永莉[1] 李燕[1] 喻兰雅[1] 李黎[1] 张玉新[1] 

机构地区：[1]广州军区广州总医院普通外科乳腺外科中心,广东广州510010

出　　处：《局解手术学杂志》2015年第3期290-292,共3页Journal of Regional Anatomy and Operative Surgery

基　　金：广东省科技计划项目(2009B060700064)

摘　　要：目的探讨腋筋膜肿胀法清扫淋巴结在乳癌改良根治术中的优势。方法将我院2005年6月至2011年6月收治的866例可手术乳腺癌患者分为观察组(腋筋膜肿胀法)578例和对照组(标准清扫法)288例,比较2种方法术后并发症的发生率。结果观察组术后患侧上肢淋巴水肿8例(1.4%)、患侧胸壁与上肢感觉异常13例(2.2%),淋巴漏8例(1.4%),与对照组并发症相比均明显减少,差异具有统计学意义(P<0.05),且不增加局部复发率(P>0.05)。结论腋筋膜肿胀法清扫淋巴结在乳癌改良根治术中能显著降低术后并发症。Objective To study the advantage of using axillary fascia swelling in cleaning the lymph nodes in modified radical mastectomy. Methods 866 patients with breast cancer collected from June 2005 to June 2011 were divided into the observation group （578 cases, axilla-ry fascia swelling method） and the control group （288 cases, standard operation method）, and the postoperative complications of the two groups were compared. Results In the observation group, there were 8 cases （1. 4%） of upper limb lymphatic edema, 13 cases （2. 2%） of chest wall and upper limb paresthesia, and 8 cases （1. 4%） of lymphatic leakage. The complications of the observation group were significantly reduced compared with the control group （P〈0. 05）, and there was no increase in the local recurrence rate （P〈0. 05）. Conclusion Axillary fascia swell-ing applied in cleaning lymph nodes could obviously reduce the postoperative complications after modified radical mastectomy.

关 键 词：腋筋膜肿胀 淋巴结清扫 乳腺癌 并发症 

分 类 号：R615[医药卫生—外科学]