乳腔镜手术治疗乳腺癌的安全性以及近期疗效的评估

Evaluation of safety and short-term therapeutic effect of patients with breast cancer treated with endoscopic surgery

目的探讨乳腔镜手术治疗乳腺癌的安全性及近期疗效。方法选取2010年9月～2011年10月笔者所在科收治的乳腺癌患者71例,在乳腔镜辅助作用下给予乳腺癌保乳术。结果所有患者均顺利完成手术且手术切口均Ⅰ期愈合;手术5～9d后拔除腋窝引流管,7～11d后拆线;3例患者术后出现了并发症,并发症发生率4.2%;所有患者均感觉术后乳房外形保持良好。结论乳腔镜辅助下进行乳腺癌保乳术具有近期疗效好、术后乳房外形保持良好、并发症发生率低的优点,该术式值得在临床上推广与应用。

Objective To explore the safety and short-term therapeutic effect of patients with breast cancer treated with endoscopic surgery.Methods With the aid of endoscopy,71 patients with breast cancer were admitted into writer＇s department from September 2010 to October 2011 were given breast-conserving surgery.Results All patients were operated successfully and their surgical incisions healed in stage Ⅰ.According to the drainage situation,the axillary drainage tubes and surgical wires of these patients were removed 5-9 d and 7-11 d after the operation,respectively.There were 3 patients had postoperative complication,and the incidence rate was 4.2%.All patients felt that they had good breast shape all the same after the operation.Conclusion With the help of endoscopy,the breast-conserving surgery is of good short-term therapeutic effect,good breast shape after the operation,low incidence rate of complication and so on,so this technique is worthy of being popularized and applied clinically.