摘要
目的探讨乳腔镜腋窝淋巴结清扫术对乳腺癌患者应激反应及康复效果的影响。方法2017年10月至2018年9月我院收治的乳腺癌患者92例,根据手术方式不同分为观察组47例与对照组45例。对照组采用传统腋窝淋巴结清扫术,观察组采用乳腔镜腋窝淋巴结清扫术,比较两组应激反应、手术指标、并发症、上肢功能等。结果术后12 h,观察组焦虑(SAS)评分、抑郁(SDS)评分、心率(HR)、平均动脉压(MAP)低于对照组(P<0.05);手术时间长于对照组,术中出血量、术后引流量少于对照组(P<0.01);上肢疼痛等并发症低于对照组(χ^2=4.753,P<0.05);随访6个月,观察组前屈、后伸、内收、外展、内旋、外旋角度大于对照组(P<0.05)。结论乳腔镜腋窝淋巴结清扫术有助于缓解乳腺癌患者应激反应,减轻手术创伤,降低术后并发症,促进患者患肢功能恢复。
Objective To investigate the effect of mastoscopic axillary lymph node dissection on stress response and rehabilitation of patients with breast cancer.Methods Ninety-two breast cancer patients in our hospital from October 2017 to September 2018 were divided into observation group(n=47)and control group(n=45).The control group was given conventional axillary lymph node dissection while the observation group was given mastoscopic axillary lymph node dissection.Then,stress response,surgical indexes,complications and upper limb function were compared between two groups.Results After 12 hours of surgery,anxiety scale(SAS),depression scale(SDS),heart rate(HR),and mean arterial pressure(MAP)were significantly lower than those in the control group(P<0.05).The operation time was longer,and the intraoperative blood loss and postoperative drainage volume were significantly lower in the observation group than those in the control group(P<0.01).Upper limb pain complications was 6.38%in the observation group,that was significantly lower than that in the control group(P<0.05).Followed up for 6 months,forward flexion,backward extension,adduction,abduction,internal rotation,and external rotation angle in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Mastoscopic axillary lymph node dissection helps to alleviate the stress response,reduce the surgical trauma and postoperative complications,and promote the affected limb functional recovery.
作者
尚忠明
邱国春
SHANG Zhong-ming;QIU Guo-chun(Department of Thyroid and Mammary Vascular Surgery,Affiliated Hospital of Traditional Chinese Medicine,Southwest Medical University,Luzhou 646000,China)
出处
《实用医院临床杂志》
2020年第3期169-172,共4页
Practical Journal of Clinical Medicine
关键词
乳腺癌
乳腔镜
腋窝淋巴结清扫术
应激反应
患肢功能
Breast cancer
Mastoscopic
Axillary lymph node dissection
Stress response
Upper limb function
