应用超声刀行乳腺癌腋窝淋巴结清扫近期疗效观察

Axillary lymph node dissection with ultracision harmonic scalpel in breast cancer

目的研究应用超声刀行乳腺癌腋窝淋巴结清扫的安全性及近期疗效。方法回顾性分析2009年9月至2010年12月,北京大学第一医院乳腺疾病中心应用HARMONIC超声刀配备FOCUS刀头行乳腺癌腋窝淋巴结清扫手术30例的临床资料(研究组),并选择同期、相同术者完成的以高频单极电刀行腋窝淋巴清扫手术病例为对照组,进行对比观察。结果研究组的平均腋窝引流时间短于对照组(11.4vs.15.7d,P=0.029),而手术时间、术中出血、淋巴结清扫数量以及淋巴引流总量等方面二者差异无统计学意义。结论与高频单极电刀相比,应用超声刀行乳腺癌腋窝淋巴结清扫安全可靠并可以缩短术后腋窝引流时间及住院天数。

Objective Evaluate the use of ultracision harmonic scalpel in axillary lymph node dissection in mastectomy of breast cancer. Methods During September 2009 to December 2010, thirty breast cancer patients received masteetomy and axillary dissection with uhracision harmonic scalpel, the drainage duration, total volume of drainage, and other clinical factors were observed and compared with the control group which received the procedure by monopolar electro diathermy. The two groups of patients were operated by the same surgeon. Results Axillary drainage duration in uhracision harmonic scalpel group is shorter than the control group（11.4 vs. 15.7 day,P=0.029）, while there is no differences between operation time, hemorrhage, number of axillary lymph node dissected and total volume of axillary drainage in the two groups. Conclusion Compared to monopolar electro diathermy, the use of ultracision harmonic scalpel in axillary lymph node dissection in mastectomy of breast cancer is safe and can shorten the drainage duration.