乳腺癌改良根治术患者实施腋筋膜肿胀法清扫淋巴结对术后并发症的影响  

Effect of Application of Membrane Swelling Method on Postoperative Complications for Lymphadenectomy in Modified Radical Mastectomy Patients

作　　者：张浩永[1] 章宏欣[1] 

机构地区：[1]新昌县人民医院肿瘤外科,浙江新昌312500

出　　处：《新中医》2017年第6期104-106,共3页New Chinese Medicine

摘　　要：目的:观察乳腺癌改良根治术患者实施腋筋膜肿胀法清扫淋巴结对术后并发症的影响。方法:将200例拟行改良根治术治疗的乳腺癌患者随机分为2组各100例,观察组实施腋筋膜肿胀法清扫淋巴结,对照组实施标准清扫法清扫淋巴结,比较2种方法术后并发症发生情况。结果:观察组治疗近期效果总有效率为94.0%,对照组为85.0%,组间比较,差异有统计学意义(P<0.05);观察组手术时间、住院时间等均短于对照组,观察组出血量少于对照组,2组间比较,差异均有统计学意义(P<0.01);观察组患侧上肢淋巴水肿、胸壁及上肢感觉异常、淋巴漏等发生率均低于对照组,差异均有统计学意义(P<0.01,P<0.05);2组局部复发率比较,差异无统计学意义(P>0.05)。结论:腋筋膜肿胀法清扫淋巴结能提高乳腺癌改良根治术治疗效果,降低术后并发症的发生。Objective：To observe the effect of application of membrane swelling method on postoperative complications for lymphadenectomy in modified radical mastectomy patients. Methods ：Selected 200 modified radical mastectomy patients,and divided them into two groups with 100 cases in each randomly. The observation group received membrane swelling method for lymphadenectomy,and the control group received standard lymphadenectomy method. Observed and analyzed incidence of postoperative complications. Results ： The total effective rate of short-term outcome was 94.0% in the observation group and was 85.0% in the control group, the difference being significant（P〈0.05）. Operative time and hospitalization of the observation group were shorter than those of the control group,and the blood loss of the observation group was less than that of the control group, the difference being significant（P〈0.01）. Incidences of upper limb lymphedema,paresthesia of chest wall and upper limb,and lymphorrhagia of the observation group were lower than those of the control group,the differences being significant（P〈0.0 1,P〈0.05）. There was no significance in the difference of local recurrence rate of the two groups（P〉0.05）. Conclusion：Membrane swelling method can improve curative effect of modified radical mastectomy in lymphadenectomy,and reduce incidence of postoperative complications.

关 键 词：腋筋膜肿胀法 淋巴结清扫 乳腺癌 并发症 手术时间 出血量 

分 类 号：R686.3[医药卫生—骨科学]