CAJ | 학술논문

目的：研究FOCUS超声刀应用在乳腺癌腋窝淋巴结清扫中的效果及安全性。方法：分别应用HARMONIC超声刀配备FOCUS刀头（研究组64例）及高频电刀（对照组67例）行乳腺癌腋窝淋巴结清扫，比较两组的手术时间、平均腋窝引流时间、术后平均住院时间及出血量和清扫腋窝淋巴结数目。结果：研究组的手术时间、平均腋窝引流时间及术后平均住院时间均短于对照组，出血量及清扫腋窝淋巴结数目二者差异无统计学意义（ P>0.05）。结论：应用超声刀行腋窝淋巴结清扫安全可靠，且可缩短手术时间、术后腋窝引流时间及术后平均住院天数，减少腋窝引流量。
목적：연구FOCUS초성도응용재유선암액와림파결청소중적효과급안전성。방법：분별응용HARMONIC초성도배비FOCUS도두（연구조64례）급고빈전도（대조조67례）행유선암액와림파결청소，비교량조적수술시간、평균액와인류시간、술후평균주원시간급출혈량화청소액와림파결수목。결과：연구조적수술시간、평균액와인류시간급술후평균주원시간균단우대조조，출혈량급청소액와림파결수목이자차이무통계학의의（ P>0.05）。결론：응용초성도행액와림파결청소안전가고，차가축단수술시간、술후액와인류시간급술후평균주원천수，감소액와인류량。
Objective To evaluate the effect and safety of Focus harmonic scalpel applied in axillary lymph nodes dissection for breast cancer. Method The patients who undergone axillary lymph nodes dissection for breast cancer were devided into the research group(64 pa-tients)and the control group(67 patients). The patients of the research group were operated with HARMONIC scalpel and FOCUS bit,and those of the control group were operated with high frequency electrotome. The operation time,average time of armpit draining,average post-operative hospitalization days,bleeding volume and number of dissected axillary nodes were compared between the two groups. Results The operation time,average time of armpit draining,average postoperative hospitalization days of the research group were significantly shorter than those of the control group. However,there was no significant difference in bleeding volume and number of dissected axillary nodes be-tween the two groups( P >0. 05 ). Conclusion Compared to that with high frequency electrotome,axillary lymph nodes dissection with HARMONIC FOCUS was safe and effective,which could shorten the operation time,average time of armpit draining,average postoperative hospitalization days,and reduce armpit draining volume.