中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2012年
2期
106-108
,共3页
乳腺癌%超声刀%改良根治术%快速康复外科%新辅助化疗
乳腺癌%超聲刀%改良根治術%快速康複外科%新輔助化療
유선암%초성도%개량근치술%쾌속강복외과%신보조화료
Breast cancer%Ultrasonically activated scalpel%Modified radical mastectomy%Fast track surgery%Neo-adjuvant chemotherapy
目的 探讨在乳腺癌患者新辅助化疗后应用超声刀(UAS)的价值.方法 回顾性分析福建医科大学附属龙岩第一医院,2009年6月至2011年8月收治的经新辅助化疗2～3周期后再行改良根治术的52例乳腺癌,其中UAS手术治疗组23例,电刀(EI)手术治疗组29例,比较2组手术时间、术中出血量、术后引流管留置时间、术后住院天数、淋巴结检出数及皮下积液的区别.结果 UAS组与EI组相比,术中出血量、术后引流管留置时间差异均有高度统计学意义(P＜0.01)；手术时间、住院天数和皮下积液差异有统计学意义(P＜0.05)；淋巴结检出数差异无统计学意义(P＞0.05).结论 乳腺癌患者新辅助化疗后,应用UAS行改良根治术及腋窝淋巴结清扫效果好,符合快速康复外科理念.
目的 探討在乳腺癌患者新輔助化療後應用超聲刀(UAS)的價值.方法 迴顧性分析福建醫科大學附屬龍巖第一醫院,2009年6月至2011年8月收治的經新輔助化療2～3週期後再行改良根治術的52例乳腺癌,其中UAS手術治療組23例,電刀(EI)手術治療組29例,比較2組手術時間、術中齣血量、術後引流管留置時間、術後住院天數、淋巴結檢齣數及皮下積液的區彆.結果 UAS組與EI組相比,術中齣血量、術後引流管留置時間差異均有高度統計學意義(P＜0.01)；手術時間、住院天數和皮下積液差異有統計學意義(P＜0.05)；淋巴結檢齣數差異無統計學意義(P＞0.05).結論 乳腺癌患者新輔助化療後,應用UAS行改良根治術及腋窩淋巴結清掃效果好,符閤快速康複外科理唸.
목적 탐토재유선암환자신보조화료후응용초성도(UAS)적개치.방법 회고성분석복건의과대학부속룡암제일의원,2009년6월지2011년8월수치적경신보조화료2～3주기후재행개량근치술적52례유선암,기중UAS수술치료조23례,전도(EI)수술치료조29례,비교2조수술시간、술중출혈량、술후인류관류치시간、술후주원천수、림파결검출수급피하적액적구별.결과 UAS조여EI조상비,술중출혈량、술후인류관류치시간차이균유고도통계학의의(P＜0.01)；수술시간、주원천수화피하적액차이유통계학의의(P＜0.05)；림파결검출수차이무통계학의의(P＞0.05).결론 유선암환자신보조화료후,응용UAS행개량근치술급액와림파결청소효과호,부합쾌속강복외과이념.
Objective To discuss the clinical value of ultrasonically activated scalpel(UAS) in breast cancer patients who underwent 2-3 cycles of neo-adjuvant chemotherapy by comparing UAS and electric knives (EI) in modified radical mastectomy. Methods From Jun.2009 to Aug.2011, 52 breast cancer patients taking 2-3 cycles of neo-adjuvant chemotherapy underwent modified radical mastectomy in our hospital. Among them, UAS group included 23 patients, and EI group included 29 patients.The 2 groups were compared in terms of the operation time, intraoperative blood loss, postoperative drainage tube duration, postoperative hospital stay, the number of lymph nodes retrieved, and the volume of subcutaneous hydrops.Results Between the 2 groups, the difference of intraoperative blood loss and postoperative drainage tube duration had statistical significance(P ＜0.01 ).The difference of operation time, hospital stay, and subcutaneous hydrops had statistical significance ( P ＜ 0.05 ).The difference of the number of lymph nodes retrieved had no statistical significance ( P ＞ 0.05 ).Conclusion There are good curative effects for breast cancer patients undergoing modified radical mastectomy by UAS and axillary lymph node dissection after neo-adjuvant chemotherapy, which is consistent with the conception of fast track surgery.
