乳房活检方式对前哨淋巴结活检的影响  

The effect of breast biopsy incision methods on sentinel lymph node biopsy

作　　者：高丹[1] 郑媛[1] 姜冉[1] 陈波[1] 田少林 王蓉[1] 卢文亮[1] GAO Dan;ZHENG Yuan;JIANG Ran(Department of Throid and Breast Surgery,Maternal and,Child Health Hospital of Hubei Province,Wuhan 430010,China)

机构地区：[1]湖北省妇幼保健院甲乳外科,武汉430070

出　　处：《临床外科杂志》2020年第9期848-851,共4页Journal of Clinical Surgery

基　　金：湖北省妇幼保健院院内基金资助项目(220936001)。

摘　　要：目的探讨乳腺肿块活检方式对乳腺癌前哨淋巴结活检准确率的影响。方法分别对107例和122例乳房肿瘤病人行开放式活检和空芯针穿刺活检,术中前哨淋巴结活检采用荧光探测仪和亚甲蓝双示踪法,根据蓝染前哨淋巴结的比例计算活检方式对前哨淋巴结活检准确率的差异。结果前哨淋巴结活检显影良好的多因素回归分析显示,乳房肿块活检方式、乳腺活检切口的长度和切口的部位对于前哨淋巴结活检的准确率均有明显影响(P<0.05)。术中未取到的前哨淋巴结,术后发现的前哨淋巴结转移,多因素分析发现,粗针穿刺活检和开放式活检两者间差异有统计学意义(P<0.05)。结论乳腺肿块活检方式、手术部位和手术切口大小对前哨淋巴结活检的准确率有影响。Objective To investigate the effect of breast mass biopsy on the accuracy of sentinel lymph node biopsy in breast cancer.Methods Open biopsy and hollow needle biopsy were performed in 107 cases and 122 cases respectively.During the operation,fluorescent detector and methylene blue double tracer were used for sentinel lymph node biopsy.According to the proportion of blue staining sentinel lymph nodes,the difference of accuracy of sentinel lymph node biopsy was calculated by the incision position.Results Multivariate regression analysis showed that the accuracy of SLN biopsy was significantly affected by the length and location of the incision and breast biopsy method(P<0.05).The results of multivariate analysis showed that there was significant difference between the open biopsy and hollow needle biopsy(P<0.05).Conclusion The accuracy of sentinel lymph node biopsy was affected by the way of breast biopsy,the position and size of incision.

关 键 词：乳腺癌 前哨淋巴结 荧光探测仪 活检 亚甲蓝 

分 类 号：R737.9[医药卫生—肿瘤]