中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
5期
40-42
,共3页
雷双根%余小芬%谢春伟%张慧琴%刘庆%雷秋模
雷雙根%餘小芬%謝春偉%張慧琴%劉慶%雷鞦模
뢰쌍근%여소분%사춘위%장혜금%류경%뢰추모
乳腺肿瘤%淋巴结清扫术%超声刀
乳腺腫瘤%淋巴結清掃術%超聲刀
유선종류%림파결청소술%초성도
Breast neoplasms%Lymph node excision%Ultrasound scalpel
目的 研究超声刀与电刀在乳腺癌改良根治术腋窝淋巴结清扫中的临床效果.方法 回顾性分析429例行乳腺癌改良根治术患者的临床资料,腋窝淋巴结清扫中采用超声刀治疗178例(超声刀组),采用电刀治疗251例(电刀组),比较两组手术出血量、手术时间、拔管时间、引流总量、皮下积液发生情况.结果 两组患者均顺利完成手术,腋窝淋巴结清扫时均无腋血管和胸长神经、胸背神经的损伤.超声刀组手术出血量、手术时间、拔管时间、引流总量均优于电刀组[(98.0±10.2) ml比(152.0±11.5) ml、(125.0±9.6) min比(155.0±12.3) min、(6.0±2.1)d比(9.0±4.3)d、(227.0±10.6) ml比(319.0±15.8) ml],差异均有统计学意义(P＜ 0.05或＜0.01),而两组皮下积液发生率比较差异无统计学意义(P＞0.05).结论 在乳腺癌改良根治术腋窝淋巴结清扫中采用超声刀能显著缩短手术时间、减少手术出血量、减少拔管时间和引流总量.
目的 研究超聲刀與電刀在乳腺癌改良根治術腋窩淋巴結清掃中的臨床效果.方法 迴顧性分析429例行乳腺癌改良根治術患者的臨床資料,腋窩淋巴結清掃中採用超聲刀治療178例(超聲刀組),採用電刀治療251例(電刀組),比較兩組手術齣血量、手術時間、拔管時間、引流總量、皮下積液髮生情況.結果 兩組患者均順利完成手術,腋窩淋巴結清掃時均無腋血管和胸長神經、胸揹神經的損傷.超聲刀組手術齣血量、手術時間、拔管時間、引流總量均優于電刀組[(98.0±10.2) ml比(152.0±11.5) ml、(125.0±9.6) min比(155.0±12.3) min、(6.0±2.1)d比(9.0±4.3)d、(227.0±10.6) ml比(319.0±15.8) ml],差異均有統計學意義(P＜ 0.05或＜0.01),而兩組皮下積液髮生率比較差異無統計學意義(P＞0.05).結論 在乳腺癌改良根治術腋窩淋巴結清掃中採用超聲刀能顯著縮短手術時間、減少手術齣血量、減少拔管時間和引流總量.
목적 연구초성도여전도재유선암개량근치술액와림파결청소중적림상효과.방법 회고성분석429례행유선암개량근치술환자적림상자료,액와림파결청소중채용초성도치료178례(초성도조),채용전도치료251례(전도조),비교량조수술출혈량、수술시간、발관시간、인류총량、피하적액발생정황.결과 량조환자균순리완성수술,액와림파결청소시균무액혈관화흉장신경、흉배신경적손상.초성도조수술출혈량、수술시간、발관시간、인류총량균우우전도조[(98.0±10.2) ml비(152.0±11.5) ml、(125.0±9.6) min비(155.0±12.3) min、(6.0±2.1)d비(9.0±4.3)d、(227.0±10.6) ml비(319.0±15.8) ml],차이균유통계학의의(P＜ 0.05혹＜0.01),이량조피하적액발생솔비교차이무통계학의의(P＞0.05).결론 재유선암개량근치술액와림파결청소중채용초성도능현저축단수술시간、감소수술출혈량、감소발관시간화인류총량.
Objective To study the effect of the ultrasound scalpel and electric knife in axillary lymph node dissection in modified radical mastectomy for breast cancer.Methods The clinical data of 429 patients with modified radical mastectomy for breast cancer were analyzed retrospectively.The axillary lymph node dissection in 178 cases were performed with the ultrasound scalpel (ultrasound scalpel group) and 251 cases were done with the electric knife(electric knife group).The blood loss,operative time,extubation time,the total amount of drainage,the incidence of seroma were compared.Results Two groups were successfully operated,no axillary vessels and long thoracic nerve,chest nerve injury.The blood loss,operative time,extubation time,the total amount of drainage in ultrasound scalpel group were significantly better than those in electric knife group [(98.0 ± 10.2) ml vs.(152.0 ± 11.5) ml,(125.0 ±9.6) min vs.(155.0 ± 12.3) min,(6.0 ± 2.1) d vs.(9.0 ± 4.3) d,(227.0 ± 10.6) ml vs.(319.0 ± 15.8) ml,P＜ 0.05 or ＜ 0.01].The incidence of seroma was no significant difference between two groups (P ＞ 0.05).Conclusions Using ultrasound scalpel in axillary lymph node dissection for breast cancer can significantly reduce operative time,and is consistent with less blood loss,less extubation time and the total amount of drainage.
