乳腺癌腋窝淋巴结清除术的临床效果  

Clinical effect of axillary lymph node dissection for breast cancer

作　　者：梅俊[1] 易茂林 

机构地区：[1]湖北省黄冈市中心医院甲乳外科,黄冈438000

出　　处：《中国肿瘤临床与康复》2015年第7期796-798,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨乳腔镜腋窝淋巴结清扫术的治疗效果及其优缺点。方法通过对同时期内80例早期乳腺癌行乳腔镜腋窝淋巴结清扫术和70例行传统腋窝淋巴结清扫术患者的临床资料及其随访结果进行统计分析,比较两种术式的手术时间、术中出血量、淋巴结清扫数目、腋窝引流时间、引流量、平均住院费用、术后上肢水肿、感觉异常、肩关节活动障碍、复发转移等方面的差异。结果乳腔镜腋窝淋巴结清扫术组手术时间要明显长于传统腋窝淋巴结清扫术组(P<0.05),但其术中出血量少(P<0.05),淋巴结清扫数目、腋窝引流时间与传统术式基本相当(P>0.05),术后引流量明显少于传统术式组(P<0.05),而平均住院费用则要高于传统术式组(P<0.05)。随访结果显示,乳腔镜腋窝淋巴结清扫术组术后上肢水肿、感觉异常、肩关节活动障碍等并发症明显少于传统腋窝淋巴结清扫术组(P<0.05),而两组肿瘤复发转移间差异无统计学意义(P>0.05)。结论乳腔镜腋窝淋巴结清扫术能达到传统腋窝淋巴结清扫术同样的治疗效果,并且其创伤小,术后并发症少,提高了乳腺癌患者术后的生存质量,值得临床推广。Objective To investigate the Clinical effect of axillary lymph node dissection for breast cancer. Methods Eighty cases of early breast cancer received mastoscopic axillary lymph node dissection and 70 cases underwent conventional axillary lymph node dissection. Clinical data and follow-up results of patients were recorded. The operation time, intraoperative bleeding volume, number of axillary lymph node dissection, drainage time, drainage, average hospitalization expenses, postoperative upper limb edema, ab- normal sensation, activity of shoulder joint disorder, recurrence and metastasis of patients received two kinds of operation were compared. Results Compared with traditional axillary lymph node dissection group, operation time in mastoscopic axillary lymph node dissection group was longer （ P 〈 0. 05 ） , but the amount of bleeding was less （ P 〈 0. 05 ）. The number of lymph node dissection and axillary drainage time in two groups was similar （P 〉 0. 05 ）. Postoperative drainage flow in mastoscopic axillary lymph node dis- section group was significantly less （ P 〈 0. 05 ）, while the average hospitalization expenses was higher （ P 〈 0.05 ）. The follow-up result showed that complications of postoperative upper limb edema, abnormal sensa- tion, shoulder joint movement disorder in mastoseopic axillary lymph node dissection group were obviously less than that in the traditional axillary lymph node dissection group （ P 〈0. 05 ） , while in thetumor recur- rence and metastasis, no differences between the two groups （P 〉 0. 05 ）. Conclusions The effect of mas- toscopic axillalT lymph node dissection was similar with traditional axillary lymph node dissection, and mas- toscopic axillary lymph node dissection has small trauma, less postoperative complications, can improve the life quality of patients, and it is worthy of clinical popularization.

关 键 词：乳腺肿瘤 乳腔镜腋窝淋巴结清扫术 治疗结果 

分 类 号：R737.9[医药卫生—肿瘤]