Harmonic focus＋超声刀在腋窝淋巴结清扫术中的临床应用研究  

The use of harmonic focus＋ ultrasonically activated scalpel in axillary lymph node dissection

作　　者：周鹏[1] 庄大勇[1] 贺青卿[1] 郑鲁明[1] 范子义[1] 朱见[1] 岳涛[1] 王猛[1] 尹乐乐[1] 王丹[1] Zhou Peng Zhuang Dayong He Qingqing Zheng Luming Fan Ziyi Zhu Xian Yue Tao Wang Meng Yin Lele Wang Dan(Department of Thyroid ＆ Breast Surgery, Jinan Military General Hospital of PLA, Jinan 250031, China)

机构地区：[1]济南军区总医院甲状腺乳腺外科,250031

出　　处：《中华内分泌外科杂志》2016年第5期378-381,共4页Chinese Journal of Endocrine Surgery

基　　金：山东省自然科学基金资助项目（ZR2012HM072）;济南军区总医院院长基金资助项目（2011M03,2013ZD005）;博士后科学基金资助项目（2012M521932）

摘　　要：目的探讨Harmonic focus＋超声刀在腋窝淋巴结清扫术中的临床应用价值，分析超声刀在腋窝淋巴结清扫术中的临床优越性。方法选取2015年10月至2016年6月在济南军区总医院甲状腺乳腺外科接受乳腺癌改良根治手术的136例，采用信封法随机分2组，68例腋窝淋巴结清扫采用Harmonicfo-cus＋超声刀（超声刀组）；68例采用电刀（电刀组）。采用t检验比较2组的手术时间、术中出血量、术后引流量、引流管留置时间、术后疼痛视觉模拟评分及手术并发症发生率。结果与电刀组相比，超声刀组缩短手术时间及引流管留置时间、减少术中出血量及术后引流量、减轻术后疼痛（P〈0．05），在手术并发症发生率等方面差异无统计学意义（P〉0．05）。结论Harmonic focus＋超声刀应用于乳腺癌腋窝淋巴结清扫术中安全有效，可节约手术时间、简化手术操作、减少术中出血及组织创伤。Objective To discuss the clinical value and superiority of Harmonic Focus＋ scalpel in axil- lary lymph node dissection. Methods From Oct. 2015 to Jun. 2016,136 breast cancer patients undergoing modi- fied radical mastectomy were randomly divided into two groups： 68 cases were operated using the Harmonic Fo- cus＋ scalpel and 68 using the mono-polar electric cautery. Statistical tests were used to compare the two groups, operating time, blood loss, postoperative drainage volume and time, visual analogue scale, and postoperative com- plications. Results Compared with the electric cautery group, the operating time, blood loss, total drainage time and volume, and visual analogue scale were significantly decreased in the Harmonic Focus group （P〈0.05）, while there was no significant difference on postoperative complications（P〉0.05）. Conclusions Axillary lymph node dissection using Harmonic Focus＋ scalpel is feasible and safe, can decrease the operation time,and simplifies the surgical procedure. Harmonic Focus＋ scapel as a new surgical instrument deserves to be used widely.

关 键 词：HARMONIC focus+超声刀 电刀 乳腺癌 腋窝淋巴结清扫 

分 类 号：R737.9[医药卫生—肿瘤]