超声刀用于乳腺癌改良根治术中的临床效果  

Clinical Effect of Ultrasonic Knife Applied in Modified Radical Mastectomy for Breast Cancer

作　　者：段奇 王征[1] 陆佳团 DUAN Qi;WANG Zheng;LU Jiatuan(Department of Mammary Gland,Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院乳腺科,河南南阳473000

出　　处：《临床医学工程》2025年第1期57-60,共4页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20191451)。

摘　　要：目的分析超声刀用于乳腺癌改良根治术中的临床效果。方法选取2021年6月至2024年6月我院收治的行改良根治术治疗的乳腺癌患者80例,随机分为两组各40例。对照组予以电刀清扫,观察组予以超声刀清扫。对比两组的围术期指标、免疫功能指标、应激指标、并发症、生存质量。结果观察组的操作时间、拔管时间、切口愈合时间、住院时间均显著短于对照组,出血量、引流量均显著少于对照组(P<0.05)。术后,两组的CD3^(+)、CD4^(+)、CD8^(+)水平比较,差异无统计学意义(P>0.05)。术后,观察组的CRP、粒细胞计数、血糖水平均显著低于对照组,生理状况、家庭状况、附加关注、功能状况、情感状况评分均显著高于对照组(P<0.05)。观察组的并发症发生率为20.00%,显著低于对照组的45.00%(P<0.05)。结论超声刀用于乳腺癌改良根治术中能够改善围术期指标,改善患者预后,减轻应激反应,减少并发症,提高生存质量,且对免疫功能影响较小。Objective To analyze the clinical effect of ultrasonic knife applied in modified radical mastectomy for breast cancer.Methods A total of 80 patients with breast cancer who were treated by modified radical mastectomy in our hospital from June 2021 to June 2024 were selected and randomly divided into two groups,with 40 cases in each group.The control group received electric knife cleaning,while the observation group received ultrasonic knife cleaning.The perioperative indicators,immune function indicators,stress indicators,complications,and quality of life were compared between the two groups.Results The operation time,extubation time,incision healing time,and hospitalization time of the observation group were significantly shorter than those of the control group,and the amount of bleeding and amount of drainage were significantly less than those of the control group(P<0.05).After surgery,no statistically significant difference was found in the levels of CD3^(+),CD4^(+),and CD8^(+)between the two groups(P>0.05).After surgery,the CRP,granulocyte count,and blood glucose levels of the observation group were significantly lower than those of the control group,and the scores of physiological status,family status,additional attention,functional status,and emotional status were significantly higher than those of the control group(P<0.05).The incidence of complications of the observation group was 20.00%,significantly lower than the 45.00%of the control group(P<0.05).Conclusions Ultra sonic knife applied in modi fied radical mastectomy for breast cancer can improve perioperative indicators,improve patients'prognosis,relieve stress reaction,reduce complications,improve quality of life,and has small impact on immune function.

关 键 词：乳腺癌 改良根治术 超声刀 临床效果 

分 类 号：R730.56[医药卫生—肿瘤]