FOCUS超声刀在乳腺癌腋窝淋巴结清扫中的应用效果观察

目的:研究FOCUS超声刀应用在乳腺癌腋窝淋巴结清扫中的效果及安全性。方法:分别应用HARMONIC超声刀配备FOCUS刀头(研究组64例)及高频电刀(对照组67例)行乳腺癌腋窝淋巴结清扫,比较两组的手术时间、平均腋窝引流时间、术后平均住院时间及出血量和清扫腋窝淋巴结数目。结果:研究组的手术时间、平均腋窝引流时间及术后平均住院时间均短于对照组,出血量及清扫腋窝淋巴结数目二者差异无统计学意义(P>0.05)。结论:应用超声刀行腋窝淋巴结清扫安全可靠,且可缩短手术时间、术后腋窝引流时间及术后平均住院天数,减少腋窝引流量。

Axillary Lymph Node Dissection with Focus Harmonic Scalpel in Breast Cancer

Objective To evaluate the effect and safety of Focus harmonic scalpel applied in axillary lymph nodes dissection for breast cancer. Method The patients who undergone axillary lymph nodes dissection for breast cancer were derided into the research group（64 patients） and the control group（67 patients）. The patients of the research group were operated with HARMONIC scalpel and FOCUS bit,and those of the control group were operated with high frequency electrotome. The operation time, average time of armpit draining, average post. operative hospitalization days, bleeding volume and number of dissected axiUary nodes were compared between the two groups. Results The operation time,average time of armpit draining, average postoperative hospitalization days of the research group were significantly shorter than those of the control group. However,there was no significant difference in bleeding volume and number of dissected axillm＇y nodes hetween the two groups （ P 〉 0. 05 ）. Conduslon Compared to that with high fxequency electrotome, axlllary lymph nodes dlssection with HARMONIC FOCUS was safe and effective, which could shorten the operation time, average time of armpit draining, average postoperative hospitalization days, and reduce armpit draining volume.