乳腺癌术中保留胸上静脉对术后引流时间影响  

作　　者：杜妍华[1] 李云茜 葛菲 刘洋[1] 杜妍琳 魏晶 邹天宁[1] 刘德权[1] 王雪芹[1] 陆仙萍 陈文林[1] 

机构地区：[1]昆明医科大学第三附属医院/云南省肿瘤医院乳腺外一科,云南昆明650118 [2]昆明医科大学第一附属医院乳腺外科,云南昆明650118

出　　处：《医学食疗与健康》2018年第2期4-5,共2页Medical Diet and Health

基　　金：国家自然科学基金地区项目（81660437、81660438）,云南省卫生计划委员会内设机构项目（2014N5021）

摘　　要：目的探讨乳腺癌腋窝淋巴结清扫术中保留胸上静脉对术后引流时间的影响.方法回顾性分析云南省肿瘤医院乳腺外科2014年8月至2016年5月病理确诊为乳腺癌且行乳房切除加腋窝淋巴结清扫术的198例患者的临床资料,根据术中是否保留胸上静脉分为组1（保留胸上静脉）和组2（切除胸上静脉）,采用Mann-WhitneyU检验对比分析两组患者术后引流时间的差异.结果198例患者中,组1和组2各99例,术后引流时间：组1最短为5天,最长为19天,中位天数9天;,组2最短为5天,最长为49天,中位天数10天.Mann-WhitneyU检验的结果表明两组患者术后引流时间的差异有统计学意义（p〈0.05）,且组1术后引流时间较组2缩短.结论乳腺癌腋淋巴结清扫术中保留胸上静脉可能对缩短术后引流时间有益.Objective To explore the influence of preserving the superior thoracic vein during the axillary lymph node dissection in breast cancer operations.Methods Retrospectively analysis the clinical data of 198 patients pathologically diagnosed with breast cancer who were underwent mastectomy and axillary lymph node dissection between August 2014 and May 2016 in Tumor Hospital of Yunnan Province.All patients were divided into two groups according to whether preserving the superior thoracic vein in breast cancer operations.Group 1 were preserved the superior thoracic vein and Group 2 were excised.Comparing and analyzing the postoperative drainage time between two groups by using Mann-Whitney U test. Results Among 198 patients,99 in group 1 and 99 in group 2.The drainage time varied from 5 days to 19 days in group 1 and 5 days to 49 days in group 2.The median of group 1 was 9 days,but 10 days of group 2.Mann-Whitney U test showed that postoperative drainage time presented a statistically significant difference in two groups（p=0.018〈0.05）.The drainage time shortened in group 1 compared to group 2.Conclusion Preserving the superior thoracic vein in breast cancer operations may be beneficial to shorten postoperative drainage time.

关 键 词：乳腺癌 腋窝淋巴结清扫术 胸上静脉 引流时间 

分 类 号：R73[医药卫生—肿瘤]