国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2015年
3期
168-170,封3
,共4页
朱见%郑鲁明%庄大勇%范子义%于芳%周鹏%倪高峰%贺青卿
硃見%鄭魯明%莊大勇%範子義%于芳%週鵬%倪高峰%賀青卿
주견%정로명%장대용%범자의%우방%주붕%예고봉%하청경
乳腺肿瘤%保乳手术%术中放疗%IntraBeam%腋窝逆向淋巴示踪%外科手术
乳腺腫瘤%保乳手術%術中放療%IntraBeam%腋窩逆嚮淋巴示蹤%外科手術
유선종류%보유수술%술중방료%IntraBeam%액와역향림파시종%외과수술
Breast neoplasms%Breast conserving surgery%Intraoperative radiotherapy%IntraBeam%Axillary reverse mapping%Surgical procedures,operative
目的 研究IntraBeam术中放疗在乳腺癌保乳术中的安全性.方法 回顾性分析2012年6月-2013年5月济南军区总医院甲状腺乳腺外科收治56例早期乳腺癌保乳手术患者的病例资料,其中28例同期行术中放疗,28例患者不行术中放疗,对两组患者术后并发症进行比较.结果 术中放疗组发生脂肪坏死13例,未行放疗组脂肪坏死6例;术中放疗组术后积液18例,未行放疗组术后积液9例.两组间比较差异有统计学意义.但两组患者在切口感染、切口愈合时间、术后皮肤感觉改变、术区疼痛、术后血肿及术后乳房外形美观度方面比较差异均无统计学意义.结论 IntraBeam系统对乳腺癌患者保乳术中实施术中放疗是安全可行的.
目的 研究IntraBeam術中放療在乳腺癌保乳術中的安全性.方法 迴顧性分析2012年6月-2013年5月濟南軍區總醫院甲狀腺乳腺外科收治56例早期乳腺癌保乳手術患者的病例資料,其中28例同期行術中放療,28例患者不行術中放療,對兩組患者術後併髮癥進行比較.結果 術中放療組髮生脂肪壞死13例,未行放療組脂肪壞死6例;術中放療組術後積液18例,未行放療組術後積液9例.兩組間比較差異有統計學意義.但兩組患者在切口感染、切口愈閤時間、術後皮膚感覺改變、術區疼痛、術後血腫及術後乳房外形美觀度方麵比較差異均無統計學意義.結論 IntraBeam繫統對乳腺癌患者保乳術中實施術中放療是安全可行的.
목적 연구IntraBeam술중방료재유선암보유술중적안전성.방법 회고성분석2012년6월-2013년5월제남군구총의원갑상선유선외과수치56례조기유선암보유수술환자적병례자료,기중28례동기행술중방료,28례환자불행술중방료,대량조환자술후병발증진행비교.결과 술중방료조발생지방배사13례,미행방료조지방배사6례;술중방료조술후적액18례,미행방료조술후적액9례.량조간비교차이유통계학의의.단량조환자재절구감염、절구유합시간、술후피부감각개변、술구동통、술후혈종급술후유방외형미관도방면비교차이균무통계학의의.결론 IntraBeam계통대유선암환자보유술중실시술중방료시안전가행적.
Objective This study was to evaluate the safety of IntraBeam in the area of breast conserving operation.Methods The clinical data of 56 cases of early breast cancer patients were analyzed retrospectively from June 2012 to May 2013.All cases were breast cancer conservation therapy.Twenty-eight cases were to given Intraoperative radiotherapy.Twenty-eight cases were not to given Intraoperative radiotherapy.Two groups of patients were compared in postoperative complications.Results The group of intraoperative radiotherapy incidence of fat necrosis was 13,control group was 6;the group of intraoperative radiotherapy incidence of postoperative effusion was 18,control group was 9,the group of intraoperative radiotherapy incidence of fat necrosis,postoperative effusion was increased,but the two groups of patients in the infection of incision,healing time,skin feeling,feeling pain,postoperative hematoma and the shape of all patients' breasts were no statistical differences.Conclusions The intraBeam equipment for early breast cancer patients in perioperative intraoperative radiation therapy is safe and feasible.