CAJ | 학술논문

目的探讨纳米炭对乳腺癌腋窝前哨淋巴结示踪的临床效果.方法对57例乳腺癌患者,术前30 min于乳晕周围分4点及肿瘤表面皮肤皮下均匀注入纳米炭混悬注射液,找到腋窝黑染的第1枚淋巴结确定为前哨淋巴结,然后行改良乳腺癌根治术,观察纳米炭的应用价值.结果成功检出前哨淋巴结56例,检出率为98.2％(56/57),准确率为98.2％(55/56),灵敏度为95.2％(20/21),假阴性率为4.8％(1/21),假阳性率为0.结论纳米炭混悬注射液作为示踪剂能准确反映腋窝淋巴结转移状态,具有操作简便、定位准确、特异性强、染色时间长的优点,值得临床推广.
목적 탐토납미탄대유선암액와전초림파결시종적림상효과.방법 대57례유선암환자,술전30 min우유훈주위분4점급종류표면피부피하균균주입납미탄혼현주사액,조도액와흑염적제1매림파결학정위전초림파결,연후행개량유선암근치술,관찰납미탄적응용개치.결과 성공검출전초림파결56례,검출솔위98.2％(56/57),준학솔위98.2％(55/56),령민도위95.2％(20/21),가음성솔위4.8％(1/21),가양성솔위0.결론 납미탄혼현주사액작위시종제능준학반영액와림파결전이상태,구유조작간편、정위준학、특이성강、염색시간장적우점,치득림상추엄.
Objective To explore the clinical effect of carbon nanoparticle in the axillary sentinel lymph node tracer of breast cancer.Methods Fifty-seven patients with breast cancer underwent lymphatic tracing with carbon nanoparticle.The carbon nanoparticle suspension was subcutaneously injected around the areola (points at 4 o'clock) and tumor surface skin at 30 min before operation.The first lymph nodes blacked were named sentinel lymph node.Then performed modified radical mastectomy,observing the application value of carbon nanoparticle.Results The detection rate of sentinel lymph node was 98.2％ (56/57).The correct,sensitive and false negative rates were 98.2％(55/56),95.2％(20/21) and 4.8％(1/21),respectively.The false positive rate was 0.Conclusions The carbon nanoparticle suspension injection subcutaneously around areola in sentinel lymph node biopsy is helpful for accurately evaluating the axillary lymph node condition.Being simple to operate,accurate positioning,dyeing time and is worth popularizing.