脂肪溶解液在乳腺癌腋淋巴结清扫术中的应用

目的:探讨脂肪溶解液在乳腺癌腋淋巴结清扫术中应用的可行性。方法:对38例术前扪及腋淋巴结肿大的乳腺癌患者(观察组)行改良根治术,腋窝注射脂肪溶解液及脂肪抽吸后进行淋巴结清扫术,术中保留肋间臂神经、胸长神经及胸背神经。对照组20例采用传统方法清扫腋窝淋巴结。结果:观察组术中出血少,平均每例取出淋巴结15个,所有患者术后均无明显并发症,术后平均随访6个月,均无腋窝肿瘤复发、肩关节活动障碍、上肢水肿及麻痹等情况。观察组术后发生皮下积液及上肢疼痛、上肢水肿等低于对照组(P0.01)。结论:采用脂肪溶解液及脂肪抽吸方法的腋淋巴结清扫术,具有操作简单、省时及淋巴结清扫较彻底、神经血管损伤少等优势。

Clinical application of liposuction for axillary lymphaden ectomy in breast cancer

Objective:To evaluate the feasibility of the application liposuction on the axillary lymph node excision for breast cancer.Methods:Thirty eight patients with a preoperative palpable breast cancer and axillary lymph nodes were treated as observed group and underwent modified radical mastectomy.Axillary injection of fat dissolving solution and suction fat after dissection.Intercostal nerve,long thoracic nerve and thoracodorsal nerve were retained during operation 20 patients were treated as control group which received traditional axillary lymph node dissection.Results:Less blood loss with an average of 15 lymph nodes removed in observed group.There was no significant postoperative complications in all patients.Mean follow-up time was 6 months.Patients had no axillary recurrence,impairment of shoulder mobility,upper extremity edema and paralysis,etc.Conclusions:Liposuction fat dissolving solution followed by axillary lymph node excision,is a simple,saving time,more thorough lymph node dissection and less neurovascular injury.