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目的:研究腔镜下乳腺癌保乳手术治疗乳腺癌的疗效及可能出现的不适。方法:研究我院166例乳腺癌经腔镜保乳手术和常规手术患者的临床资料,其中82例行腔镜下乳腺肿块切除组(腔镜组),86例行常规腋窝淋巴结清扫术(常规组),对比腔镜组和常规组各临床指标的差异。结果:平均手术时间、出血量、淋巴结数、阳性淋巴结数腔镜组比常规组出血量少,手术时长更长(P<0.05);腔镜组术后无1例并发症,常规清扫组有2例患者上肢水肿,2例手术切口愈合不佳。腔镜手术组术后无1例复发病例,未见明显并发症。常规组术后乳房复发1例,2例疑有肺转移,2例胫骨转移;复发转移率为4.6%。2组均无死亡病例,无1例腋窝淋巴结复发。结论:腔镜保乳手术与常规清扫术同样能彻底完成腋窝淋巴结清扫,具有手术创伤小、并发症少的优势,值得临床推广。
Objective: To study the efficacy and possible discomfort of endoscopic breast-conserving surgery for breast cancer. Methods: The clinical data of 166 patients with breast cancer undergoing laparoscopic breast-conserving surgery and routine surgery were studied. Among them, 82 underwent endoscopic lumpectomy, and 86 underwent conventional axillary lymph node dissection Group), comparing the difference between the clinical indexes of endoscopic group and routine group. Results: The mean operation time, bleeding volume, number of lymph nodes and number of positive lymph nodes in the endoscopic group were less than those in the conventional group, and the operation time was longer (P <0.05). There was no complication in the endoscopic group, Upper extremity edema occurred in 2 patients and poor healing occurred in 2 surgical incisions. No cases of recurrence after endoscopic surgery group, no significant complications. In the conventional group, one case had breast recurrence, two cases had suspected lung metastasis, and two cases had tibial metastasis. The recurrence and metastasis rate was 4.6%. No deaths were found in 2 groups and no axillary lymph node recurrence was found in 1 group. Conclusion: Endoscopic breast-conserving surgery and conventional dissection can also complete the axillary lymph node dissection, with the advantages of less surgical trauma and less complications, which is worthy of clinical promotion.