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目的:观察乳腔镜腋窝淋巴结清扫术治疗临床Ⅰ期乳腺癌的效果。方法:选择临床Ⅰ期乳腺癌200例,随机分为观察组和对照组各100例。观察组采用乳腔镜腋窝淋巴结清扫术,对照组采用传统腋窝淋巴结清扫术,比较两组手术时间、术中出血量、术后引流量、淋巴结清扫数目、切口不良反应发生情况和术后3年复发率等。结果:观察组手术时间、术中出血量及术后引流量均显著或非常显著短(少)于对照组(P<0.05,P<0.01)。观察组切口不良反应发生率显著低于对照组(P<0.05)。两组淋巴结清扫数目和术后3年复发率比较,均差异不显著(P>0.05)。结论:乳腔镜腋窝淋巴结清扫术治疗临床Ⅰ期乳腺癌效果优于传统腋窝淋巴结清扫术。
Objective: To observe the effect of laparoscopic axillary lymph node dissection in the treatment of clinical stage Ⅰ breast cancer. Methods: One hundred and twenty cases of clinical stage Ⅰ breast cancer were randomly divided into observation group and control group with 100 cases each. The patients in the observation group were treated by laparoscopic axillary lymph node dissection. The control group was treated by traditional axillary lymph node dissection. The operation time, intraoperative blood loss, postoperative drainage volume, the number of lymph node dissection, incision adverse reactions and postoperative 3 years Recurrence rate and so on. Results: The operation time, intraoperative blood loss and postoperative drainage volume were significantly or very significantly shorter (less) in the control group (P <0.05, P <0.01). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (P <0.05). There was no significant difference between the number of lymph node dissection and the recurrence rate after 3 years (P> 0.05). Conclusion: The effect of laparoscopic axillary lymph node dissection in treating clinical stage Ⅰ breast cancer is better than that of traditional axillary lymph node dissection.