乳腺癌改良腋窝淋巴结清扫术的临床应用

Improved axillary lymph node dissection in breast cancer for clinical application

目的:探讨乳腺癌改良腋窝淋巴结清扫术的临床应用的价值。方法:将165例拟行乳腺癌改良根治术的患者随机分为治疗组79例和对照组86例,治疗组行改良的腋窝淋巴结清扫术,对照组行常规的腋窝淋巴结清扫术。观察两组上臂内侧感觉功能及皮下积液情况。结果:治疗组术后1周、1个月、3个月上臂感觉障碍发生率分别为46例(58%)、32例(40%)和23例(29%),对照组分别为62例(72%)、52例(60%)、46例(53%),两组比较差异有统计学意义(P<0.01)。两组手术时间、清扫淋巴结数相比差异无统计学意义(P>0.05)。结论:乳腺癌改良腋窝淋巴结清扫术可明显减少上臂内侧的感觉异常及皮下积液率,而不增加手术时间及清扫淋巴结范围,提高了患者的生活质量。

Objective To evaluate the axillary lymph node dissection in breast cancer improved the clinical application value.Methods 165 patients who underwent modified radical mastectomy were randomly divided into experimental group（79 cases） and control group（86 cases）,experimental group underwent axillary lymph node dissection improved the control group underwent conventional axillary lymph node dissection.Sensory function were observed inside the upper arm and subcutaneous fluid situation.Results After one week,one month,three months,the incidence of sensory disturbance of the upper arm were 46 cases（58%）,32 patients（40%） and 23 patients（29%）,the control group were 62 patients（72 %）,52 cases（60%） and 46 patients（53%）,the two groups（P0.01）.Two sets of operating time,number of lymph node dissection compared with（P 0.05）.Conclusion Improvement in breast cancer axillary lymph node dissection can significantly reduce the inner upper arm paresthesia,and subcutaneous fluid rate,without increasing the scope of operation time and lymph node dissection to improve the quality of life of patients.