乳腔镜腋窝淋巴结清扫术治疗早期乳腺癌临床研究

Clinical study of mammoscopic axillary lymph node dissection for early breast cancer patients

目的:探究乳腔镜腋窝淋巴结清扫术的可行性。方法:选取76例早期乳腺癌患者,采用数字表法随机分为观察组和对照组各38例,对照组采用传统腋窝淋巴结清扫术治疗,观察组则采用乳腔镜腋窝淋巴结清扫术治疗,对比两组患者的各项手术指标(手术时间、腋窝引流量、腋窝引流时间、淋巴结清扫数目、术中出血量),两组患者均随访12个月,统计两组患者的复发情况及上肢功能状况。结果:两组患者均顺利完成手术,观察组患者的腋窝引流量、术中出血量均显著低于对照组,差异具有统计学意义(P<0.05),但两组患者的其他手术指标对比差异无统计学意义(P>0.05);两组患者在随访期间内均未出现腋窝复发,观察组患者在感觉异常、淋巴水肿、皮下积液、肩关节活动障碍等术后上肢功能并发症发生率上均显著低于对照组,差异具有统计学意义(P<0.05)。结论:采用乳腔镜进行腋窝淋巴结清扫的疗效可靠,与传统清扫术相比可有效减少术后并发症,加速患者的康复。

Objective: To investigate the feasibility of breast axillary lymph node dissection. Methods: Sixty-six patients with early stage breast cancer were randomly divided into observation group and control group by 38 patients. The control group used traditional axillary lymph nodes. In the observation group, the observation group was treated with mammoscopic axillary lymph node dissection. The surgical indexes (operation time, axillary drainage, axillary drainage time, number of lymph node dissection, intraoperative blood loss) were compared between the two groups. All patients were followed up for 12 months. The recurrence and upper limb function of the two groups were counted. Results: The operation was successfully completed in both groups. The amount of axillary drainage and intraoperative blood loss in the observation group were significantly lower than those in the control group. The difference was statistically significant ( P <0.05), but the other surgical indexes of the two groups were not compared. Significant difference ( P >0.05);no recurrence of axillary recurrence occurred in the two groups during the follow-up period. The observation group had the incidence of postoperative upper extremity functional complications such as paresthesia, lymphedema, subcutaneous fluid, and shoulder joint activity disorder. Significantly lower than the control group, the difference was statistically significant ( P <0.05). Conclusion: The efficacy of breast augmentation for axillary lymph node dissection is reliable. Compared with traditional dissection, it can effectively reduce postoperative complications and accelerate the recovery of patients. It is worthy of clinical promotion and application.