CAJ | 학술논문

目的：探讨在乳腺癌腋窝淋巴结清扫术中超声刀和普通电刀对乳腺癌术后并发症的影响。方法回顾性分析92例乳腺癌腋窝淋巴结清扫术患者的临床资料，患者随机选择手术方式，其中采用超声刀37例，普通电刀55例，比较两组患者淋巴结检出数、手术时间、术后24 h 引流量、血清肿发生率和腋窝引流管留置时间。结果超声刀组手术时间为（148．2±30．4）min、检出淋巴结17个，腋窝引流管留置时间为（16．0±5．3）d，普通电刀组分别为（143．5±40．8）min，16个和（16．7±4．4），两组比较差异无统计学意义（P ＞0．05），超声刀组术后24 h 引流量为（118．8±65．8）ml，血清肿发生率为8．1％；普通电刀组分别为（159．2±71．3）ml 和20％，两组比较差异有统计学意义（P ＜0．01）。结论在乳腺癌腋窝淋巴结清扫术中超声刀和普通电刀对腋窝淋巴结清扫效果比较无明显差异，但采用超声刀后患者术后并发症明显减少。
목적：탐토재유선암액와림파결청소술중초성도화보통전도대유선암술후병발증적영향。방법회고성분석92례유선암액와림파결청소술환자적림상자료，환자수궤선택수술방식，기중채용초성도37례，보통전도55례，비교량조환자림파결검출수、수술시간、술후24 h 인류량、혈청종발생솔화액와인류관류치시간。결과초성도조수술시간위（148．2±30．4）min、검출림파결17개，액와인류관류치시간위（16．0±5．3）d，보통전도조분별위（143．5±40．8）min，16개화（16．7±4．4），량조비교차이무통계학의의（P ＞0．05），초성도조술후24 h 인류량위（118．8±65．8）ml，혈청종발생솔위8．1％；보통전도조분별위（159．2±71．3）ml 화20％，량조비교차이유통계학의의（P ＜0．01）。결론재유선암액와림파결청소술중초성도화보통전도대액와림파결청소효과비교무명현차이，단채용초성도후환자술후병발증명현감소。
Objective To evaluate the effects of ultrasonic scalpel and traditional electrocautery on postoperative complications in axillary dissection for breast cancer treatment.Methods The clinical data of 92 breast cancer patients with axillary dissection were analyzed retrospectively.The surgical proce-dures were randomly chosen by patients,including 37 cases with ultrasonic scalpel and 55 cases with elec-trocautery.Both groups were compared in operation time,number of harvested lymph nodes,postoperative drainage in 24 h,seroma formation rate,and drain removal time.Results There were no significant differ-ences in operation time[(148.2 ±30.4)min vs(143.5 ±40.8)min],number of harvested lymph nodes (17 nodes vs 16 nodes),and drain removal time[(16.0 ±5.3)d vs(16.7 ±4.4)d]between ultrasonic scalpel group and electrocautery group(P >0.05 ).There were significant differences in postoperative drainage [(118.8 ±65.8)ml vs(159.2 ±71.3)ml]and seroma formation rate(8.1% vs 20%)between ultrasonic scalpel group and electrocautery group(P <0.01).Conclusion For breast cancer,ultrasonic scalpel is similar to electrocautery in axillary dissection,but it can reduce postoperative complications.