早期乳腺癌腔镜腋窝淋巴结清扫术效果分析

目的:探讨早期乳腺癌腔镜下腋窝淋巴结清扫术的临床效果。方法:回顾性分析2010年2月—2012年10月我院头颈乳腺科收治的Ⅰ期、Ⅱ期乳腺癌患者110例,按淋巴结清扫方式不同分为腔镜下手术腋窝淋巴结清扫组(实验组)50例和传统手术腋窝淋巴结清扫组(对照组)60例。比较两组患者手术时间、术中出血量、淋巴结清扫枚数、术后引流量、并发症发生率、预后等。结果:实验组和对照组平均手术时间分别为(115.12±23.45)min、(78.42±18.34)min,平均术中出血量分别为(48.36±10.35)m L、(87.42±20.76)m L,平均术后引流量分别为(195.62±47.87)m L(362.72、±67.93)m L,差异均有统计学意义(P0.05);实验组和对照组平均淋巴结清扫枚数分别为(16.92±4.37)枚、(18.83±4.98)枚,差异无统计学意义(P0.05);实验组和对照组术后并发症发生率分别为5%和16.67%,差异有统计学意义(P0.05)。术后所有患者均获随访4~37个月,平均随访(22.21±14.67)个月。实验组和对照组术后复发转移分别为3例和4例,两组复发转移率比较差异无统计学意义(P0.05)。结论:早期乳腺癌腔镜下腋窝淋巴结清扫与传统手术清扫的临床效果无明显差异,但腔镜具有微创优势。

Effect analysis of axillary lymph node cleaning by endoscope surgery of early breast cancer patient

Objective：To discuss the clinical effect of the axillary lymph node cleaning of the early breast cancer patient by endoscope surgery.Methods：Retrospectively analyzed our hospital head and neck and Mammary gland surgery Department in hospital 110 cases of stage Ⅰ,stage Ⅱ breast cancer patients from October 2012 to February 2010 and divided into the axillary lymph node cleaning by endoscope surgery group （experimental group） 50 cases and traditional surgery group （control group） 60 cases,according to the operation method.Observe and compare the clinical indicators including the operation time,intraoperative blood loss,number of lymph node,postoperative drainage volume and prognosis after operation,etc.All measurement data comparison using t test;All count data using X2 test.Results：The average operation time of experimental group and control group,respectively is （115.12 ± 23.45 min and 23.45 ± 18.34 min）,the average intraoperative blood loss,respectively is （48.36 ± 10.35 mL and 10.35 ± 20.76 mL）,the lymph node average number respectively is （16.92 ± 4.37,18.83 ± 4.98）,the average postoperative drainage volume respectively is （195.62 ±47.87 mL and 47.87 ± 67.93 mL）; the mean follow-up time of the two groups is （22.21 ±14.67） months,the post-operation relapse and metastasis of the experimental group and control group respectively is 3 cases and 4 cases; the comparation of two groups shows that the operation time of the experimental group is longer than the contrast group,but the intraoperative blood loss and the postoperative drainage volume is less than the control group,with significant difference（P＜0.05）.The recurrence,metastasis rate of two groups has no significant difference （P＞0.05）.The incidence of postoperative complications of experimental group was significantly lower than the control group （5％ vs 16.67％,P＜0.05）.Conclusion：The clinical effect of the axillary lymph node cleaning of the early breast cancer patient by endoscope surgery h