| 乳腔镜下前哨淋巴结活检和腋窝淋巴结清扫术的临床研究(附36例报告) |
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| 引用本文： | 白剑,严志登,刘学强,李建明,杨家恒,万恒荣. 乳腔镜下前哨淋巴结活检和腋窝淋巴结清扫术的临床研究(附36例报告)[J]. 中国医师进修杂志, 2006, 29(23): 21-23 |
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| 作者姓名： | 白剑 严志登 刘学强 李建明 杨家恒 万恒荣 |
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| 作者单位： | 528400,广州中医药大学中山附属医院普外科 |
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| 摘 要： | 目的探讨乳腔镜下乳腺癌前哨淋巴结活检和腋窝淋巴结清扫术的可行性及可靠性。方法采用亚甲蓝染色法在乳腔镜下切除36例乳腺癌患者的前哨淋巴结(SLN)和腋窝淋巴结(ALN),随后行患侧全乳腺切除术。结果36例患者SLN检出率为97.22%(35/36),灵敏度为92.86%(13/14),准确率为97.14%(34/35),假阴性率为7.14%(1/14)。ALN每例切除数目12~21枚。结论乳腔镜下前哨淋巴结活检和腋窝淋巴结清扫术准确可靠,并发症少,易于临床开展。
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| 关 键 词： | 乳腺肿瘤 内窥镜检查 前哨淋巴结活组织检查 |
| 修稿时间： | 2006-03-29 |
Clinical research of mastoscopic axillary sentinel lymph node biopsy and axillary lymph node dissection(areport of 36 cases) |
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| BAI Jian,YAN Zhi-deng,LIU Xue-qiang,LI Jian-ming,YANG Jia-heng,WAN Heng-rong. Clinical research of mastoscopic axillary sentinel lymph node biopsy and axillary lymph node dissection(areport of 36 cases)[J]. Chinese Journal of Postgraduates of Medicine, 2006, 29(23): 21-23 |
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| Authors: | BAI Jian YAN Zhi-deng LIU Xue-qiang LI Jian-ming YANG Jia-heng WAN Heng-rong |
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| Abstract: | Objective To approach the feasibility and reliability of mastoscopic axillary sentinel lymph node (SLN) biopsy and axillary lymph node dissection. Methods By using methylene blue to test the axillary sentinel lymph node, endoscopic axillary sentinel lymph node biopsy and axillary lymph node dissection were performed in 36 patients with breast cancer, and adenomammectomy was performed to all the patients. Results Among the 36 patients, the SLN detection rate was 97.22% (35/36), the sensitivity was 92.86% (13/14), the accuracy rate was 97.14% (34/35), the false negative rate was 7.14%(1/14). The average ALN number was 16.14. Conclusions Mastoscopic axillary sentinel lymph node biopsy and axillary lymph node dissection are accurate and reliable with little complication. It is easy to use in clinic. |
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| Keywords: | Breast neoplasms Endoscopy Sentinel lymph node biopsy |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
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