中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2009年
1期
37-38
,共2页
万德炎%何永越%石一峰%施志国
萬德炎%何永越%石一峰%施誌國
만덕염%하영월%석일봉%시지국
乳腺肿瘤%腋窝淋巴结清扫术%内窥镜
乳腺腫瘤%腋窩淋巴結清掃術%內窺鏡
유선종류%액와림파결청소술%내규경
Breast neoplasms%Axillary lymph node dissection%Endoscopy
目的 探讨乳腔镜下乳腺癌腋窝淋巴结清扫术的可行性及I临床意义.方法 回顾性分析乳腔镜下腋窝淋巴结清扫术17例的临床资料及操作要点.结果 17例手术均获成功,平均手术时间97 min,术中清扫淋巴结5~14个,平均11个;发现腋窝淋巴结转移2例,无一例中转手术,未发生明显并发症;随诊病例,患侧上肢功能良好,无穿刺孔种植现象.结论 脂肪抽吸后腋窝淋巴结清扫术在基层医院亦可开展,术后局部功能及外形效果良好,可作为常规手术方法之一.
目的 探討乳腔鏡下乳腺癌腋窩淋巴結清掃術的可行性及I臨床意義.方法 迴顧性分析乳腔鏡下腋窩淋巴結清掃術17例的臨床資料及操作要點.結果 17例手術均穫成功,平均手術時間97 min,術中清掃淋巴結5~14箇,平均11箇;髮現腋窩淋巴結轉移2例,無一例中轉手術,未髮生明顯併髮癥;隨診病例,患側上肢功能良好,無穿刺孔種植現象.結論 脂肪抽吸後腋窩淋巴結清掃術在基層醫院亦可開展,術後跼部功能及外形效果良好,可作為常規手術方法之一.
목적 탐토유강경하유선암액와림파결청소술적가행성급I림상의의.방법 회고성분석유강경하액와림파결청소술17례적림상자료급조작요점.결과 17례수술균획성공,평균수술시간97 min,술중청소림파결5~14개,평균11개;발현액와림파결전이2례,무일례중전수술,미발생명현병발증;수진병례,환측상지공능량호,무천자공충식현상.결론 지방추흡후액와림파결청소술재기층의원역가개전,술후국부공능급외형효과량호,가작위상규수술방법지일.
Objective To explore the feasibility and clinical efficacy of entirely mastoscopic axillary lymph node dissection for patients with breast cancer. Methods To analyze the clinical data and the procedure of the Breast cancer cases with entirely mastescopic axillary lymph node dissection. Results All the operations of those cases re-ceived entirely mastoseopic axillary lymph nodes dissection were successful, the average operating duration was 97min,and average of 5 ~ 14 lymph nodes were removed;2 cases had the positive lymph node. The procedure of those operations went well ,and there was no operation complication. After the operation the shoulder mobilization had unlim-ited, and no cancer cell was transplanted in operations holes. Conclusion Entirely mastoscopic axillary lymph node dissection can be carried out in grass-root hospitals and can be taken as one of the usual operation methods.