摘要
目的探讨使用不同术式的腋窝淋巴结清扫术对早期乳腺癌进行治疗的应用效果。方法整群选取2014年1月—2015年2月,共计100例乳腺癌患者来该院就诊,将其随机列入观察组与对照组,每组50例。对照组实施传统切开清扫手术,观察组则实施腔镜下引导下的腋窝淋巴结清扫术。对比分析两组患者的疗效。结果观察组的手术所需时间为(78.4±15.4)min,出血量为(48.4±10.3)m L,满意度为94%,淋巴结清扫数量为(17.7±4.6)枚,复发转移率为4%;对照组的手术所需时间为(115.7±20.4)min,出血量为(87.7±20.6)m L,满意度为80%,淋巴结清扫数量为(18.6±4.7)枚,复发转移率为6%,观察组的手术所需时间、出血量和满意度均要显著优于对照组,差异有统计学意义(P<0.05),而两组患者的淋巴结清扫数量和复发转移率相比,差异无统计学意义(P>0.05),具有可比性。结论在早期乳腺癌的治疗中,腔镜引导下的腋窝淋巴结清扫术能够减轻手术创伤,促进患者早日康复,效果满意。
Objective To observe the efficacy of different axillary lymphnode dissections in the treatment of early breast cancer. Methods A total number of 100 patients with breast canner admitted to and treated in this hospital from January 2014 and February 2015 were randomly assigned to the observation group and control group with 50 in each one. The con-trol group underwent conventional open dissection, while the observation group was treated with axillary lymphnode dissec-tions guided by endoscopy. The efficacy was compared between the patients in the two groups. Results The operation dura-tion, blood loss, and satisfaction were （78.4±15.4）min, （48.4±10.3）mL, and 94% respectively in the observation group, su-perior to those, （115.7±20.4）min, （87.7±20.6）mL, and 80% respectively, in the control, and the differences were all statis-tically significant, P〈0.05. But no statistically significant differences can be found in lymph node dissection number and re-currence and metastasis rate, which were 17.7 ±4.6 and 4% in the observation group and 18.6 ±4.7 and 6% in the control group respectively, P〉0.05. Conclusion Axillary lymphnode dissections guided by endoscopy in the treatment of early breast cancer can reduce surgical trauma and promote patients＇ quick recovery, so its effect is satisfactory.
出处
《中外医疗》
2015年第32期79-81,共3页
China & Foreign Medical Treatment
关键词
乳腺癌
腋窝淋巴结清扫术
传统切开清扫手术
Breast cancer
Axillary lymphnode dissections
Conventional open dissection
