CAJ | 학술논문

目的：探讨腋筋膜肿胀法清扫淋巴结在乳癌改良根治术中的优势。方法将我院2005年6月至2011年6月收治的866例可手术乳腺癌患者分为观察组(腋筋膜肿胀法)578例和对照组(标准清扫法)288例，比较2种方法术后并发症的发生率。结果观察组术后患侧上肢淋巴水肿8例(1.4%)、患侧胸壁与上肢感觉异常13例(2.2%)，淋巴漏8例(1.4%)，与对照组并发症相比均明显减少，差异具有统计学意义(P<0.05)，且不增加局部复发率(P>0.05)。结论腋筋膜肿胀法清扫淋巴结在乳癌改良根治术中能显著降低术后并发症。
목적：탐토액근막종창법청소림파결재유암개량근치술중적우세。방법장아원2005년6월지2011년6월수치적866례가수술유선암환자분위관찰조(액근막종창법)578례화대조조(표준청소법)288례，비교2충방법술후병발증적발생솔。결과관찰조술후환측상지림파수종8례(1.4%)、환측흉벽여상지감각이상13례(2.2%)，림파루8례(1.4%)，여대조조병발증상비균명현감소，차이구유통계학의의(P<0.05)，차불증가국부복발솔(P>0.05)。결론액근막종창법청소림파결재유암개량근치술중능현저강저술후병발증。
Objective To study the advantage of using axillary fascia swelling in cleaning the lymph nodes in modified radical mastectomy. Methods 866 patients with breast cancer collected from June 2005 to June 2011 were divided into the observation group (578 cases, axilla-ry fascia swelling method) and the control group (288 cases, standard operation method), and the postoperative complications of the two groups were compared. Results In the observation group, there were 8 cases (1. 4%) of upper limb lymphatic edema, 13 cases (2. 2%) of chest wall and upper limb paresthesia, and 8 cases (1. 4%) of lymphatic leakage. The complications of the observation group were significantly reduced compared with the control group (P<0. 05), and there was no increase in the local recurrence rate (P<0. 05). Conclusion Axillary fascia swell-ing applied in cleaning lymph nodes could obviously reduce the postoperative complications after modified radical mastectomy.