超声刀与电刀在乳腺癌改良根治术腋窝淋巴结清扫中的应用对比研究  

Comparative research of ultrasound scalpel and electric scalpel applied for axillary lymph node dissection in modified radical mastectomy

作　　者：权燕[1] 葛子豪 谢舜峰[1] 

机构地区：[1]汕头大学医学院第一附属医院甲状腺乳腺外科,515041

出　　处：《中国实用医药》2017年第10期47-49,共3页China Practical Medicine

摘　　要：目的探讨超声刀与电刀在乳腺癌改良根治术腋窝淋巴结清扫中的临床运用效果。方法 165例乳腺癌改良根治术患者作为研究对象,随机分为超声刀组(84例,采用超声刀清扫腋窝淋巴结)和电刀组(81例,采用电刀清扫腋窝淋巴结)。比较两组手术时间、术中出血量、术后淋巴结检出数目、术后引流量及术后皮下积液发生情况等。结果超声刀组手术时间(80.3±25.8)min、术中出血量(45.3±6.7)ml、术后引流量(460.9±44.8)ml及术后皮下积液患者3例均明显少于电刀组(98.2±27.6)min、(64.8±7.9)ml、(580.5±58.1)ml、10例,差异具有统计学意义(P<0.05),两组腋窝淋巴清扫数目及术后病理分期比较差异无统计学差异(P>0.05)。结论在乳腺癌改良根治术腋窝淋巴结清扫中,超声刀与电刀相比,具有明显优势。Objective To investigate clinical application effects by ultrasound scalpel and electric scalpel applied for axillary lymph node dissection in modified radical mastectomy. Methods A total of 165 patients receiving modified radical mastectomy as study subjects were randomly divided into ultrasound scalpel group（84 cases, ultrasound scalpel for axillary lymph node dissection） and electric scalpel group（81 cases, electric scalpel for axillary lymph node dissection）. Comparison was made on operation time, intraoperative bleeding volume, postoperative lymph node detected number, postoperative drainage volume, postoperative subcutaneous hydrops between the two groups. Results The ultrasound scalpel group had operation time as（80.3±25.8） min, intraoperative bleeding volume as（45.3±6.7） ml, postoperative drainage volume as（460.9±44.8） ml, and 3 cases with postoperative subcutaneous hydrops, which were all less than（98.2±27.6） min,（64.8±7.9） ml,（580.5±58.1） ml and 10 cases in the control group, and their difference had statistical significance（P〈0.05）. The difference of axillary lymph node dissection number and postoperative pathological stage had no statistical significance between the two groups（P〈0.05）. Conclusion Comparing with electric scalpel, ultrasound scalpel contains more remarkable advantage for axillary lymph node dissection in modified radical mastectomy.

关 键 词：超声刀 电刀 乳腺癌改良根治术 腋窝淋巴结清扫 

分 类 号：R737.9[医药卫生—肿瘤]