Auchincloss乳腺癌改良根治术65例治疗体会

Modified radical mastectomy with Auchincloss method for 65 cases of breast cancer

目的：分析行Auchincloss乳腺癌改良根治术患者的临床特点,进一步提高乳腺癌的临床诊治水平。方法回顾性分析2009年1月-2013年3月收治的行Auchincloss乳腺癌改良根治术治疗的65例女性乳腺癌患者的临床资料。临床分期I期19例,Ⅱ期32例,Ⅲ期14例；其中伴有淋巴结转移的病例29例。结果65例患者手术时间平均（164±19.54）min；手术出血量（75±23.79）ml；术中清除淋巴结14.63枚,39例患者术中保留肋间臂神经。术后发生皮瓣下积液12例（18.46%）、患肢淋巴水肿2例（3.08%）。术后随访时间为0.5~4年,无局部肿瘤复发和转移,无患者死亡。结论 Auchincloss乳腺癌改良根治术操作简单,术后并发症相对较少,并保持胸部外形饱满和肢体功能,根治效果良好,不会增加局部复发的危险。

Objective To explore and analyze clinical features of patients with breast cancer treated with modified radical mastectomy by Auchincloss method in an effort to improve treatment. Methods Clinical data of 65 patients, who were treated with modified radical mastectomy by Auchincloss method in our hospital from January 2009 to March 2013, were retrospectively analyzed. Clinical stage I in 19 cases, 32 cases in stage II, 14 cases in stage III; lymph node metastasis in 29 cases. Results The mean operation time of patients was （164 ± 19. 54 ）min, the mean operation bleeding volume was（75 ± 23. 79 ）ml, 14. 63 lymph nodes removed during operation, intercostobrachial nerve preserved in 39 patients. Occurrence of subcutaneous hydrops after operation in 12 cases （18. 46%）, limb lymphedema in 2 cases （3. 08%）. With follow-up of 6 months to 4 years after operation, no recurrence, metastasis and death were found. Conclusions The modified radical mastectomy of breast cancer with Auchincloss method has advantages of simple operation, fewer postoperative complications, maintaining the chest plump shape , limb functions and good curative effect , there is no increasing risk of local recurrence.