注射溶脂剂在乳腺癌腋窝淋巴结清扫术中的应用价值

目的:探讨腋窝皮下注射溶脂剂在乳腺癌腋窝淋巴结清扫术中的应用价值.方法:将2012年3月-2012年7月收治的26例乳腺癌患者分为常规组(行常规腋窝淋巴结清扫术)与溶脂剂组(皮下注射溶脂液后行腋窝淋巴结清扫术),每组13例.比较两组的手术时间、术中出血量、肋间臂神经的保留情况及术后并发腋窝积液等.结果:溶脂剂组肋间臂神经全部完整保留,且术中出血较少,与常规组比较差异均有统计学意义(均P＜0.05)；两组的手术时间及术后并发腋窝积液的几率差异无统计学意义(均P＞0.05).结论:注射溶脂剂后行腋窝淋巴结清扫术有利于分离和保留肋间臂神经,且术中出血少,对于乳腺癌腋窝淋巴结清扫术具有实际的应用价值.

Value of lipolytic solution injection in axillary lymph node dissection for breast cancer

Objective: Toinvestigate the value of subcutaneous axillary injection of lipolytic solution before axillary lymph node dissection for breast cancer. Methods: During March to July 2012, 26 patients with breast cancer were allotted to traditional group (undergoing traditional axillary lymph node dissection) and lipolytic solution injection group (undergoing subcutaneous axillary injection of lipolytic solution before axillary lymph node dissection), with 13 cases in each group. The operative time, intraoperative blood loss, preservation of the intercostobrachial nerve and incidence of postoperative axillary leakage between the two groups were compared. Results: In patients of lipolytic solution injection group, the intercostobrachial nerves were all preserved with less intraoperative blood loss, and the differences were statistically significant versus traditional group (both P<0.05). No differences were noted between the two groups in operative time and incidence of postoperative axillary leakage(both P>0.05). Conclusion: Lipolytic solution injection before axillary lymph node dissection is helpful for detection and preservation of the intercostobrachial nerve during surgery,and meanwhile it can reduce intraoperative blood loss. So it has certain application value in axillary lymph node dissection for breast cancer.