腔镜皮下腺体切除及腋窝淋巴结清扫加假体植入术治疗乳腺癌疗效及并发症分析  

Analysis of curative effect and complications of endoscopic subcutaneous glandectomy and axillary lymph node dissection combined with prosthesis implantation in the treatment of breast cancer

作　　者：康乐平 张琳 万舟 苟勇 Kang Leping;Zhang Lin;Wan Zhou;Gou Yong(Department of Thyroid and Breast Surgery,Ziyang Central Hospital,Ziyang Sichuan Province 641300,China;Department of Pathology,Ziyang Central Hospital,Ziyang Sichuan Province 641300,China;Department of Pathology,Zigong First People's Hospital,Zigong Sichuan Province 643000,China;Pengzhou Hospital of Traditional Chinese Medicine,General surgery department,Pengzhou,Sichuan 611930,China)

机构地区：[1]资阳市中心医院甲状腺乳腺外科,四川资阳641300 [2]资阳市中心医院病理科,四川资阳641300 [3]自贡市第一人民医院病理科,四川自贡643000 [4]彭州市中医医院普通外科,四川彭州611930

出　　处：《中华普外科手术学杂志（电子版）》2024年第4期427-429,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：2020年四川青年创新科研课题项目(Q20038)。

摘　　要：目的探究腔镜皮下腺体切除及腋窝淋巴结清扫加假体植入术治疗乳腺癌的疗效及并发症。方法回顾性分析2021年2月至2023年2月79例手术治疗的乳腺癌患者临床资料,根据不同手术方式分为观察组(n=42例,行腔镜皮下腺体切除及腋窝淋巴结清扫加假体植入术)和对照组(n=37例,行传统改良根治术)。数据运用SPSS22.0软件进行统计学分析,总优良率、并发症发生率采用X检验;治疗效果采用秩和检验;围手术期相关指标以(x±s)表示,采用独立样本t检验。P<0.05为差异有统计学意义。结果观察组患者手术时间较对照组长(P<0.05),但住院时间、拔管时间和出血量均较对照组少(P<0.05);治疗6个月后,观察组患者治疗总优良率较对照组高(P<0.05);观察组患者术后并发症总发生率(4.8%)较对照组(21.6%)低(P<0.05)。结论采用腔镜皮下腺体切除及腋窝淋巴结清扫加假体植入术治疗乳腺癌的疗效较好,且恢复较快、创伤较小、安全性较高。Objective To explore the efficacy and complications of endoscopic subcutaneous glandectomy and axillary lymph node dissection combined with prosthesis implantation in the treatment of breast cancer.Methods s The clinical data of 79 patients with breast cancer treated by surgery from February 2021 to February 2023 were retrospectively analyzed,and divided into observation group(n=42 cases,endoscopic subcutaneous glandectomy,axillary lymph node dissection and prosthesis implantation)and control group(n=37 cases,traditional modified radical surgery)according to different operation methods.SPSS 22.0 software was used for statistical analysis.The overall good and good rate and complication rate were tested by x^(2)test.The treatment effect was tested by Rank Sum test.Perioperative relevant indexes were expressed as(x±s)and independent sample t test was used.P<0.05 was considered to be statistically significant.Results The operation time of observation group was longer than that of control group(P<0.05),but the length of hospital stay,extubation time and blood loss were less than that of control group(P<0.05).After 6 months of treatment,the total good and good rate of observation group was higher than that of control group(P<0.05).The total incidence of postoperative complications in observation group(4.8%)was lower than that in control group(21.6%)(P<0.05).Conclusion Endoscopic subcutaneous glandectomy and axillary lymph node dissection combined with prosthesis implantation are effective in the treatment of breast cancer,with faster recovery,less trauma and higher safety.

关 键 词：乳腺肿瘤 腔镜皮下腺体切除 淋巴结切除术 假体植入 

分 类 号：R737.9[医药卫生—肿瘤]