CAJ | 학술논문

目的：：探讨脂肪溶解液辅助腋窝淋巴结清扫对乳腺癌术后淋巴漏发生率的影响。方法：行乳腺癌改良根治术患者86例，其中常规行乳腺癌改良根治术清扫腋窝淋巴结的52例为对照组，术中加用脂肪溶解液辅助腋窝淋巴结清扫的34例为观察组。比较2组术后3d引流管引流量、腋窝引流管留置时间、皮下积液的发生率。结果：观察组术后第2天、第3天引流量和腋窝引流管留置时间均较对照组明显减少(P<0.01)，皮下积液的发生率低于对照组(P<0.05)。结论：乳腺癌改良根治术中使用脂肪溶解液辅助腋窝淋巴结清扫可以预防术后淋巴漏的发生。
목적：：탐토지방용해액보조액와림파결청소대유선암술후림파루발생솔적영향。방법：행유선암개량근치술환자86례，기중상규행유선암개량근치술청소액와림파결적52례위대조조，술중가용지방용해액보조액와림파결청소적34례위관찰조。비교2조술후3d인류관인류량、액와인류관류치시간、피하적액적발생솔。결과：관찰조술후제2천、제3천인류량화액와인류관류치시간균교대조조명현감소(P<0.01)，피하적액적발생솔저우대조조(P<0.05)。결론：유선암개량근치술중사용지방용해액보조액와림파결청소가이예방술후림파루적발생。
Objective:To investigate the effect of postoperative lymphatic fluid leakage after the axillary lymph nodes dissection by liposuction. Methods:Eighty-six breast cancer patients were included in this study,which were divided into two groups,the patients with dissection of axillary lymph nodes by liposuction ( n=34 ) were in observation group, and the patients with traditional axillary lymph node dissection( n=52 ) were in control group. The draining volume in the postoperative 3 days, draining time and the incidence of subcutaneous fluid were compared between the two groups. Results:The postoperative drainage volume and drainage time in the second day and the third day in observation group were less than in control group(P <0. 01). The incidence of subcutaneous fluid in observation group was lower than that in control group(P<0. 05). Conclusions:The axillary lymph nodes dissection by liposuction can reduce the incidence of postoperative lymphatic leakage,it can be applied widely in axillary lymph nodes dissection in breast cancer.