中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
10期
1617-1618
,共2页
腔镜手术%乳腺癌%前哨淋巴结%活检
腔鏡手術%乳腺癌%前哨淋巴結%活檢
강경수술%유선암%전초림파결%활검
Endoscopy surgery%Breast cancer%Sentinel lymph node%A biopsy
目的：：探讨在腔镜下乳腺癌前哨淋巴结活体组织检查(活检)的临床价值及临床效果。方法：对2007年1月~2012年12月在我院行乳腺癌前哨淋巴结活检的400病例,112例为腔镜下活检288例为开放活检,采用亚甲蓝法和放射性核素+亚甲蓝联合法对前哨淋巴结进行探测。结果：腔镜下活检组亚甲蓝法检出率为87.86%,亚甲蓝法和放射性核素联合法检出率为95.76%；开放活检组亚甲蓝法检出率为85.03%,亚甲蓝法和放射性核素联合法检出率为95.53%；开放活检组检出前哨淋巴结数量亚甲蓝法平均1.95枚/例,联合法平均1.89枚/例,；腔镜组则分别为1.93枚/例和1.81枚/例。上述两组间各指标的差异均无统计学意义(P>0.05)。腔镜组术后患皮下积液概率高于开放组。结论：腔镜下乳腺癌前哨淋巴结活检与传统乳腺癌前哨淋巴结活检安全性与临床效果相似,但腔镜下乳腺癌前哨淋巴结活检能较好地满足患者的美观要求,腔镜下乳腺癌前哨淋巴结活检在临床上值得推广。
目的：：探討在腔鏡下乳腺癌前哨淋巴結活體組織檢查(活檢)的臨床價值及臨床效果。方法：對2007年1月~2012年12月在我院行乳腺癌前哨淋巴結活檢的400病例,112例為腔鏡下活檢288例為開放活檢,採用亞甲藍法和放射性覈素+亞甲藍聯閤法對前哨淋巴結進行探測。結果：腔鏡下活檢組亞甲藍法檢齣率為87.86%,亞甲藍法和放射性覈素聯閤法檢齣率為95.76%；開放活檢組亞甲藍法檢齣率為85.03%,亞甲藍法和放射性覈素聯閤法檢齣率為95.53%；開放活檢組檢齣前哨淋巴結數量亞甲藍法平均1.95枚/例,聯閤法平均1.89枚/例,；腔鏡組則分彆為1.93枚/例和1.81枚/例。上述兩組間各指標的差異均無統計學意義(P>0.05)。腔鏡組術後患皮下積液概率高于開放組。結論：腔鏡下乳腺癌前哨淋巴結活檢與傳統乳腺癌前哨淋巴結活檢安全性與臨床效果相似,但腔鏡下乳腺癌前哨淋巴結活檢能較好地滿足患者的美觀要求,腔鏡下乳腺癌前哨淋巴結活檢在臨床上值得推廣。
목적：：탐토재강경하유선암전초림파결활체조직검사(활검)적림상개치급림상효과。방법：대2007년1월~2012년12월재아원행유선암전초림파결활검적400병례,112례위강경하활검288례위개방활검,채용아갑람법화방사성핵소+아갑람연합법대전초림파결진행탐측。결과：강경하활검조아갑람법검출솔위87.86%,아갑람법화방사성핵소연합법검출솔위95.76%；개방활검조아갑람법검출솔위85.03%,아갑람법화방사성핵소연합법검출솔위95.53%；개방활검조검출전초림파결수량아갑람법평균1.95매/례,연합법평균1.89매/례,；강경조칙분별위1.93매/례화1.81매/례。상술량조간각지표적차이균무통계학의의(P>0.05)。강경조술후환피하적액개솔고우개방조。결론：강경하유선암전초림파결활검여전통유선암전초림파결활검안전성여림상효과상사,단강경하유선암전초림파결활검능교호지만족환자적미관요구,강경하유선암전초림파결활검재림상상치득추엄。
Objective:To investigate the cavity in sentinel lymph node biopsy in breast cancer clinical effect.Methods:In our line of the sentinel lymph node biopsy,400 cases of breast cancer,112 cases for biopsy under the cavity mirror,288 cases of open biopsy,with methylene blue method and radionuclide+methylene blue method to detect the sentinel lymph node.Results:Under the cavity mirror biopsy group of methylene blue method detection rate was 87.86%,the methylene blue method and joint method of radioactive nuclide detection rate is 95.76%;Open group of methylene blue method detection rate was 85.03%,the methylene blue method and joint method of radioactive nuclide detection rate is 95.53%;Open group of sentinel lymph node detection quantity methylene blue method,on average,1.95/cases,combined method,an average of 1.89/case;Cavity mirror group were 1.93 and 1.81/rings/cases.There were no statistically significant difference (P>0.05).Conclusion:Breast cancer sentinel lymph node biopsy under the cavity mirror and the traditional security sentinel lymph node biopsy for breast cancer and clinical results are similar,but the cavity mirrors the sentinel lymph node biopsy for breast cancer has good beauty,is worth promoting.
