早期乳腺癌前哨淋巴结活检术的临床应用(1)
摘要：目的 分析早期乳腺癌前哨淋巴结活检术临床应用的效果。方法 选取我院2016年1月～2018年1月收治的乳腺癌患者60例，按照患者意愿及手术适应证分为对照组和实验组。对照组28例直接行保乳根治术，实验组32例根据前哨淋巴结活检术病理结果确定是否进行腋窝清扫术。比较两组患者疼痛、麻木、上肢水肿、活动障碍、皮下积液等并发症发生率、手术时间、住院时间、有无肿瘤复发情况、对美容效果满意率。结果 实验组患者术后3个月并发症发生率(21.88%)低于对照组(71.42%)，术后6个月并发症发生率(3.13%)低于对照组(25.00%)，实验组患者平均手术时间及住院时间均低于对照组，差异有统计学意义(P<0.05);对照组患者局部转移率高于实验组，两组患者复发情况比较，差异无统计学意义(P>0.05);术后美容效果满意度实验组高于对照组，差异有统计学意义(P<0.05)。结论 在早期乳腺癌患者中应用前哨淋巴结活检术可以在不增加复发率的基础上，有效降低术后并发症发生率、降低住院时间及腋窝引流时间，提高整体美容效果。
关键词：早期乳腺癌;前哨淋巴结活檢术;腋窝清扫
, 百拇医药
中图分类号：R737.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.06.035
文章编号：1006-1959(2019)06-0114-03
Abstract：Objective To analyze the clinical application of sentinel lymph node biopsy in early breast cancer. Methods 60 patients with breast cancer admitted to our hospital from January 2016 to January 2018 were enrolled. The patients were divided into the control group and the experimental group according to the patient's wishes and surgical indications. In the control group， 28 patients underwent radical mastectomy. In the experimental group， 32 patients underwent axillary dissection according to the pathological results of sentinel lymph node biopsy. The incidence of complications such as pain， numbness， upper extremity edema， activity disorder， subcutaneous effusion， operation time， hospitalization time， tumor recurrence， and satisfaction rate of cosmetic effects were compared between the two groups. Results The incidence of complications at 3 months after operation (21.88%) in the experimental group was lower than that in the control group (71.42%)， and the incidence of complications in the 6 months after operation (3.13%) was lower than that in the control group (25.00%). The average operative time and hospitalization time in the experimental group were significantly lower than those in the control group，the difference was statistically significant (P<0.05). The local metastasis rate of the control group was higher than that of the experimental group. There was no significant difference in the recurrence between the two groups (P>0.05).The postoperative cosmetic effect satisfaction group was higher than the control group，the difference was statistically significant (P<0.05). Conclusion The use of sentinel lymph node biopsy in patients with early breast cancer can effectively reduce the incidence of postoperative complications， reduce the length of hospital stay and axillary drainage time， and improve the overall cosmetic effect without increasing the recurrence rate., http://www.100md.com(蔡振 桑畅野)
关键词：早期乳腺癌;前哨淋巴结活檢术;腋窝清扫
, 百拇医药
中图分类号：R737.9 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.06.035
文章编号：1006-1959(2019)06-0114-03
Abstract：Objective To analyze the clinical application of sentinel lymph node biopsy in early breast cancer. Methods 60 patients with breast cancer admitted to our hospital from January 2016 to January 2018 were enrolled. The patients were divided into the control group and the experimental group according to the patient's wishes and surgical indications. In the control group， 28 patients underwent radical mastectomy. In the experimental group， 32 patients underwent axillary dissection according to the pathological results of sentinel lymph node biopsy. The incidence of complications such as pain， numbness， upper extremity edema， activity disorder， subcutaneous effusion， operation time， hospitalization time， tumor recurrence， and satisfaction rate of cosmetic effects were compared between the two groups. Results The incidence of complications at 3 months after operation (21.88%) in the experimental group was lower than that in the control group (71.42%)， and the incidence of complications in the 6 months after operation (3.13%) was lower than that in the control group (25.00%). The average operative time and hospitalization time in the experimental group were significantly lower than those in the control group，the difference was statistically significant (P<0.05). The local metastasis rate of the control group was higher than that of the experimental group. There was no significant difference in the recurrence between the two groups (P>0.05).The postoperative cosmetic effect satisfaction group was higher than the control group，the difference was statistically significant (P<0.05). Conclusion The use of sentinel lymph node biopsy in patients with early breast cancer can effectively reduce the incidence of postoperative complications， reduce the length of hospital stay and axillary drainage time， and improve the overall cosmetic effect without increasing the recurrence rate., http://www.100md.com(蔡振 桑畅野)