CAJ | 학술논문

目的探讨乳腺癌手术腋窝淋巴结清扫时保留腋鞘的临床意义.方法回顾性分析2004年1月至2008年1月施行并获得12个月随访的402例乳腺癌改良根治术患者的临床资料.按腋窝淋巴结清扫时保留腋鞘与否分为A、B两组,A组243例,B组159例.术后对两组患者腋窝皮下积液和上肢水肿情况进行观察随访.结果 A、B两组术后顽固性腋窝皮下积液发生率分别为5.3%(13/243)、10.7%(17/159),两组比较差异有统计学意义(P＜0.05);术后1、6、12个月上肢水肿严重程度与发生率分别比较,A组均显著低于B组(P＜0.01).结论乳腺癌改良根治术腋窝淋巴结清扫时探查腋鞘内或其周围无明显肿大和可疑转移淋巴结的情况下,保留腋鞘能够有效降低术后顽固性腋窝皮下积液和上肢水肿的严重程度与发生率,提高患者的生存质量.
목적 탐토유선암수술액와림파결청소시보류액초적림상의의.방법 회고성분석2004년1월지2008년1월시행병획득12개월수방적402례유선암개량근치술환자적림상자료.안액와림파결청소시보류액초여부분위A、B량조,A조243례,B조159례.술후대량조환자액와피하적액화상지수종정황진행관찰수방.결과 A、B량조술후완고성액와피하적액발생솔분별위5.3%(13/243)、10.7%(17/159),량조비교차이유통계학의의(P＜0.05);술후1、6、12개월상지수종엄중정도여발생솔분별비교,A조균현저저우B조(P＜0.01).결론 유선암개량근치술액와림파결청소시탐사액초내혹기주위무명현종대화가의전이림파결적정황하,보류액초능구유효강저술후완고성액와피하적액화상지수종적엄중정도여발생솔,제고환자적생존질량.
Objective To investigate the clinical significance of retaining axillary sheath in axillary lymph node dissection of breast cancer surgery. Methods Four hundred and two patients received modified radical mastectomy from January 2004 to January 2008 and followed up for 12 months were retrospectively analyzed. They were divided into two groups (group A and B) according to whether retaining axillary sheath in operation. Compared the morbidities of axillary effusion and edema of upper limbs between two groups. Results The morbidity of axillary effusion after operation in group A (5.3%, 13/243 ) was lower than that in group B (10.7%,17/159)(P＜0.05). Based on the data followed up for 1,6, 12 months after operation, the morbidity of edema of upper limbs in group A were also lower than those in group B (P ＜0.01). Conclusion Retaining axillary sheath when there is no evidence of lymph node metastasis in axillary sheath, will prominently lower the morbidities of axillary effusion and edema of upper limbs,improve the life quality of patients.