《中国期刊全文数据库》收录期刊
《中国核心期刊(遴选)数据库》收录期刊
《中文科技期刊数据库》收录期刊

外科研究与新技术 ›› 2019, Vol. 8 ›› Issue (1): 40-43.doi: 10.3969/j.issn.2095-378X.2019.01.012

• 论著 • 上一篇    下一篇

溶脂辅助腋窝淋巴结清扫术临床应用分析

陈文晓, 袁超杰, 吴卫文, 罗海岸   

  1. 广东医科大学附属台山医院(台山市人民医院)普外科,台山 529200
  • 收稿日期:2019-03-05 出版日期:2019-03-28 发布日期:2019-12-09
  • 作者简介:陈文晓(1978—),男,本科,副主任医师,从事普通外科工作;电子信箱:3562855627@qq.com

Clinical application of auxiliary liposuction to axillary lymph node dissection

CHEN Wenxiao, YUAN Chaojie, WU Weiwen, LUO Hai’an   

  1. Department of General Surgery, Taishan Hospital Affiliated to Guangdong Medical University (Taishan People’s Hospital), Taishan 529200, China
  • Received:2019-03-05 Online:2019-03-28 Published:2019-12-09

摘要: 目的 探讨溶脂辅助在乳腺癌腋窝淋巴结清扫术中的临床价值。 方法 分析2015年1月—2019年2月的32例溶脂辅助腋窝淋巴结清扫术组及43例传统开放手术组患者资料,对比两组病例的手术切口长度,术中出血量、清扫淋巴结数、术后引流时间、术后1个月患侧肩关节外展最大角度、肋间臂神经损伤等指标。结果 观察组的平均切口长度短、术中出血量少、术后引流时间短及肋间臂神经损伤发生率低,术后1个月患侧肩关节外展的最大角度大,差异有统计学意义(P<0.01),清扫淋巴结数量与对照组差异无统计学意义(P>0.05)。结论 溶脂辅助在乳腺癌腋窝淋巴结清扫术中具有良好的临床应用价值,为乳腔镜腋窝淋巴结清扫术提供基础。

关键词: 溶脂, 乳腺癌, 腋窝淋巴结清扫术, 肋间臂神经, 乳腔镜

Abstract: Objective To investigate the clinical value of auxiliary liposuction in axillary lymph node dissection for breast cancer.Methods Clinical data of 32 patients receiving auxiliary liposuction in axillary lymph node dissection and 43 patients receiving traditional surgery from January 2015 to February 2019 were compared for length of incision, volume of intraoperative bleeding, number of intraoperatively dissected lymph nodes, postoperative drainage time, maximum shoulder joint abduction angle measured at 1 month after operation, and incidence of intercostal nerve damage between the two groups.Results The observation group showed significantly lower average incision length, intraoperative bleeding volume, postoperative drainage time, and incidence rate of intercostal nerve damage, as well as significantly larger maximum shoulder joint abduction angle than the traditional group(P<0.01).There was no significant difference in the number of intraoperatively dissected lymph nodes between the two groups(P>0.05).Conclusion Auxiliary liposuction has high clinical values in axillary lymph node dissection, and provide a basis for mastoscopic axillary lymph node dissection.

Key words: Liposuction, Breast cancer, Axillary lymph node dissection, Intercostal nerve, Mastoscopic

中图分类号: