中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
5期
15-17
,共3页
黄超有%陈建强%聂向阳%谢惠华
黃超有%陳建彊%聶嚮暘%謝惠華
황초유%진건강%섭향양%사혜화
乳腺肿瘤%保乳%乳腔镜腋窝淋巴结清扫
乳腺腫瘤%保乳%乳腔鏡腋窩淋巴結清掃
유선종류%보유%유강경액와림파결청소
Breast neoplasms%Breast-conserving%Mastoscopic axillary lymph node dissection
目的 了解早期乳腺癌患者保乳手术同时行乳腔镜腋窝淋巴结清扫的近期治疗效果.方法 30例符合保乳手术指征的患者,按随机数字表法分为试验组和对照组,每组15例,均行保乳手术,再分别行乳腔镜腋窝淋巴结清扫和常规腋窝淋巴结清扫.观察比较两组的近期治疗效果.结果 试验组手术时间(88.0±18.0)min,明显长于对照组的(68.0±12.5) min,差异有统计学意义(P=0.001),试验组上肢水肿发生率[6.7％(1/15)]及肋间臂神经损伤发生率(0)较对照组[60.0％(9/15)、40.0％(6/15)]显著降低,差异有统计学意义(P=0.002、0022),而两组术中出血量、淋巴结清除数目、术后总引流量、术野残留癌细胞发生率比较差异无统计学意义[(18.0±12.2) ml比(21.3±9.0) ml;( 14.6±5.0)枚比(16.4±3.6)枚；(87.9±25.1) ml比(86.3±13.8) ml;6.7％(1/15)比13.3％(2/15)](P＞0.05).结论 乳腔镜腋窝淋巴结清扫能获得与常规腋窝淋巴结清扫相当的淋巴结清除数目,术后不良反应少,近期效果良好.
目的 瞭解早期乳腺癌患者保乳手術同時行乳腔鏡腋窩淋巴結清掃的近期治療效果.方法 30例符閤保乳手術指徵的患者,按隨機數字錶法分為試驗組和對照組,每組15例,均行保乳手術,再分彆行乳腔鏡腋窩淋巴結清掃和常規腋窩淋巴結清掃.觀察比較兩組的近期治療效果.結果 試驗組手術時間(88.0±18.0)min,明顯長于對照組的(68.0±12.5) min,差異有統計學意義(P=0.001),試驗組上肢水腫髮生率[6.7％(1/15)]及肋間臂神經損傷髮生率(0)較對照組[60.0％(9/15)、40.0％(6/15)]顯著降低,差異有統計學意義(P=0.002、0022),而兩組術中齣血量、淋巴結清除數目、術後總引流量、術野殘留癌細胞髮生率比較差異無統計學意義[(18.0±12.2) ml比(21.3±9.0) ml;( 14.6±5.0)枚比(16.4±3.6)枚；(87.9±25.1) ml比(86.3±13.8) ml;6.7％(1/15)比13.3％(2/15)](P＞0.05).結論 乳腔鏡腋窩淋巴結清掃能穫得與常規腋窩淋巴結清掃相噹的淋巴結清除數目,術後不良反應少,近期效果良好.
목적 료해조기유선암환자보유수술동시행유강경액와림파결청소적근기치료효과.방법 30례부합보유수술지정적환자,안수궤수자표법분위시험조화대조조,매조15례,균행보유수술,재분별행유강경액와림파결청소화상규액와림파결청소.관찰비교량조적근기치료효과.결과 시험조수술시간(88.0±18.0)min,명현장우대조조적(68.0±12.5) min,차이유통계학의의(P=0.001),시험조상지수종발생솔[6.7％(1/15)]급륵간비신경손상발생솔(0)교대조조[60.0％(9/15)、40.0％(6/15)]현저강저,차이유통계학의의(P=0.002、0022),이량조술중출혈량、림파결청제수목、술후총인류량、술야잔류암세포발생솔비교차이무통계학의의[(18.0±12.2) ml비(21.3±9.0) ml;( 14.6±5.0)매비(16.4±3.6)매；(87.9±25.1) ml비(86.3±13.8) ml;6.7％(1/15)비13.3％(2/15)](P＞0.05).결론 유강경액와림파결청소능획득여상규액와림파결청소상당적림파결청제수목,술후불량반응소,근기효과량호.
Objective To analyze the short-term efficacy of mastoscopic axillary lymph node dissection for the patients with early breast cancer who undergo breast-conserving surgery.Methods Thirty patients who met the standard of breast-conserving surgery were divided into two groups by random digits table with 15 cases each.All of these patients underwent breast-conserving surgery,then study group underwent mastoscopic axillary lymph node dissection while control group underwent open technique.The short-term efficacy was observed and compared between two groups.Results The operation time in study group [(88.0 ± 18.0) min] was longer than those in control group [(68.0 ± 12.5) min] with significant difference (P =0.001 ).The incidence of upper extremity edema [ 6.7％ ( 1/15 ) ] and intercostobrachial nerve injury (0) in study group was lower than those in control group[60.0％(9/15),40.0％(6/15) ] with significant difference (P =0.002,0.022).There was no significant difference in blood loss,nodes harvest,total drainage volume and residual cancer cells between two groups [ ( 18.0 ± 12.2) ml vs.(21.3 ± 9.0) ml; 14.6 ±5.0 vs.16.4 ±3.6; (87.9 ±25.1) ml vs.(86.3 ±13.8) ml;6.7％(1/15) vs.13.3％(2/15)] (P ＞0.05).Conclusions Mastoscopic axillary lymph node dissection has the similar nodes harvest with open technique.The incidence of adverse reaction is lower,and the short-term effect is better.
