保乳联合前哨淋巴结活检手术对老年乳腺癌患者术后恢复状况及并发症的影响

The influence of breast-conserving surgery combined with sentinel node biopsy on the postoperative recovery status and complications of the older patients with breast cancer

目的探讨保乳联合前哨淋巴结活检手术对老年乳腺癌患者术后恢复状况及并发症的影响。方法选择从2012年2月—2015年2月在亳州市人民医院接受治疗的老年乳腺癌患者102例进行回顾性研究。其中接受保乳联合前哨淋巴结活检手术治疗的42例患者设为研究组;接受传统手术治疗的60例患者设为对照组。对2组患者的手术情况、术后恢复状况及并发症等进行分析。结果在2组患者的手术情况中,研究组患者总出血量、手术时间、拔除引流管时间、总引流量分别为(65.2±20.8)ml、(58.4±13.6)min、(5.3±1.1)d、(102.6±20.4)ml;对照组患者总出血量、手术时间、拔除引流管时间、总引流量分别为(102.3±19.6)ml、(163.2±52.1)min、(29.7±9.8)d、(269.2±10.1)ml。在并发症方面,研究组患者皮下组织坏死、上肢水肿、皮下积液分别为1例(2.4%)、0例(0.0%)、1例(2.4%);对照组患者皮下组织坏死、上肢水肿、皮下积液分别为7例(11.7%)、16例(26.7%)、4例(6.7%)。在术后恢复情况上,研究组患者心理状况良好为39例(92.9%),对照组患者心理状况良好为32例(53.3%),2组相比差异有统计学意义(P<0.05)。结论采用保乳联合前哨淋巴结活检手术治疗老年乳腺癌,患者术后恢复情况良好,并发症少,值得推广。

Objective To explore the effect of breast conserving combined sentinel lymph node biopsy operation on the status of recovery and complication of old patients with breast cancer after operation. Methods The 102 cases of old patients with breast cancer treated in our hospital from February 2012 to February 2015 were retrospective studied. The 42 patients who accepted emulsion combined with sentinel lymph node biopsy operation treatment were selected as study group; while another 60 patients who accepted the traditional operation therapy as control group. On the recovery of operation condition,the results of patients in the 2 groups after operation and complications were analyzed. Results In the operation condition of 2 groups of patients in the study group patients,the total amount of bleeding,operation time,removal of drainage tube time,total drainage volume were（ 65. 2 ± 20. 8） ml,（ 58. 4 ± 13. 6） min,（ 5. 3 ± 1. 1） d,（ 102. 6 ± 20. 4）ml; while patients in the control group,the total amount of bleeding operation time,removed the drainage tube time,total drainage volume were（ 102. 3 ± 19. 6） ml,（ 163. 2 ± 52. 1） min,（ 29. 7 ± 9. 8） d,（ 269. 2 ± 10. 1） ml. In the aspects of complications,the patients in study group received subcutaneous tissue necrosis,edema of the upper limb,subcutaneous effusion were 1 cases（ 2. 4%）,0 cases（ 0. 0%）,1 cases（ 2. 4%）; the control group of patients with subcutaneous tissue necrosis,edema of the upper limb,subcutaneous effusion were 7 cases（ 11. 7%）,16 cases（ 26. 7%）,4 cases（ 6. 7%）.The postoperative recovery of patients with good psychological state,the study group was 39 cases（ 92. 9%）; the study group patients psychological condition of 31 cases（ 53. 3%）. Compared to the patients in the 2 groups had significant difference（ P〈0. 05）. Conclusion For elderly patients with breast cancer treated with breast conservation,the method combined the sentinel lymph node biopsy operation can have better effect.