医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
17期
83-83,84
,共2页
乳腺癌%保乳%前哨淋巴结
乳腺癌%保乳%前哨淋巴結
유선암%보유%전초림파결
Breast cancer%Breast conservation surgery%Sentinel lymph node biopsy
目的探讨早期乳腺癌行保乳切除+前哨淋巴结术的近期、远期临床疗效以及并发症。方法回顾性分析我院2008年1月~2014年2月行保乳切除+前哨淋巴结活检术治疗的早期乳腺癌患者的临床资料。结果26例患者手术过程顺利。术后3例出现皮下积液，其中2例行再次导管置入，3例皮瓣坏死，2例出现上肢运动功能障碍。中位随访时间为26.3月。1例患者出现局部复发,另1例出现远处转移(骨)。总体美容效果优良率为84.6%。结论对早期乳腺癌行保乳切除+前哨淋巴结活检术能够取得较好的治疗效果，且能保持乳房的外形，维持上肢功能，减少手术并发症。
目的探討早期乳腺癌行保乳切除+前哨淋巴結術的近期、遠期臨床療效以及併髮癥。方法迴顧性分析我院2008年1月~2014年2月行保乳切除+前哨淋巴結活檢術治療的早期乳腺癌患者的臨床資料。結果26例患者手術過程順利。術後3例齣現皮下積液，其中2例行再次導管置入，3例皮瓣壞死，2例齣現上肢運動功能障礙。中位隨訪時間為26.3月。1例患者齣現跼部複髮,另1例齣現遠處轉移(骨)。總體美容效果優良率為84.6%。結論對早期乳腺癌行保乳切除+前哨淋巴結活檢術能夠取得較好的治療效果，且能保持乳房的外形，維持上肢功能，減少手術併髮癥。
목적탐토조기유선암행보유절제+전초림파결술적근기、원기림상료효이급병발증。방법회고성분석아원2008년1월~2014년2월행보유절제+전초림파결활검술치료적조기유선암환자적림상자료。결과26례환자수술과정순리。술후3례출현피하적액，기중2례행재차도관치입，3례피판배사，2례출현상지운동공능장애。중위수방시간위26.3월。1례환자출현국부복발,령1례출현원처전이(골)。총체미용효과우량솔위84.6%。결론대조기유선암행보유절제+전초림파결활검술능구취득교호적치료효과，차능보지유방적외형，유지상지공능，감소수술병발증。
Objective To investigate the ef ect of breast conserving surgery plus sentinel lymph node biopsy (SLNB)of early breast cancer.Methods Retrospective analysis was implemented on 26 early breast cancer patients in our hospital from January 2008 to February 2014,who had undergone breast conserving surgery plus SLNB.Results 26 patients during surgery smoothly.3 cases of postoperative seroma, including two routine again catheter,three cases of flap necrosis,two cases of upper extremity motor dysfunction.The median fol ow-up time was 26.3 months.One patient had local recurrence,and 1 patient had distant metastases(bone).Overal excel ent cosmetic results was 84.6%.Conclusion Breast conserving surgery plus SLNB can achieve bet er therapeutic ef ect,and can maintain the shape of the breast,maintain upper limb function,reduce surgical complications.
