CAJ | 학술논문

目的探讨乳腺癌不同切除方法与腋窝淋巴结清扫情况、术后并发症的关系.方法 2006年3月至2008年2月采用常规(Ⅰ式)及劈开胸大肌(Ⅱ式)两种不同改良根治术切除乳腺癌各68例,术后对淋巴结清扫情况、术后并发症进行比较研究.结果两组在腋窝Ⅲ级水平转移淋巴结的清扫及术后出现患侧上肢肿胀上均有显著性差异;上肢肿胀情况经治疗后可早期消失.结论 Ⅱ式手术方式能清扫更多腋窝Ⅲ级水平转移淋巴结,有利于改善患者预后;且其术后并发症可经治疗改善.
목적 탐토유선암불동절제방법여액와림파결청소정황、술후병발증적관계.방법 2006년3월지2008년2월채용상규(Ⅰ식)급벽개흉대기(Ⅱ식)량충불동개량근치술절제유선암각68례,술후대림파결청소정황、술후병발증진행비교연구.결과 량조재액와Ⅲ급수평전이림파결적청소급술후출현환측상지종창상균유현저성차이;상지종창정황경치료후가조기소실.결론 Ⅱ식수술방식능청소경다액와Ⅲ급수평전이림파결,유리우개선환자예후;차기술후병발증가경치료개선.
Objective To study the status of anxillary lymph node dissection and post-operative complications with different techniques to dissect the breast cancer. Moth-ods Between Mar. 2006 and Feb. 2008, 136 patients with breast cancer were randomly divided into two equal groups. In the A group, the patients were operated with type Ⅰ method and in the latter they were operated with type Ⅱ method. The status of anxillary lymph node dissection and post-operative complications were compared. Results There are significant differences in grade Ⅲ anxillary lymph node dissection and swollen limbs in two groups. The operative complication was disappear quickly after treatment. Conclusion Type Ⅱ method could clean more grade Ⅲ anxillary lymph nodes compare with type Ⅰ and it might improve the patient's prognosis.