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目的:探讨成功标识乳腺癌前哨淋巴结(sentinel lymph node SLN)的方法。方法:使用国产美兰采用乳腺肿瘤区局部注射的方法对116例乳腺癌病人进行前哨淋巴结的标识。结果:116例患者,术前检查有腋窝淋巴结肿大者49例,成功标识47例,标识率95.9％,术前检查未发现腋窝淋巴结肿大者67例,成功标识63例,标识率94.0％,总标识率94.8％。结论:国产美兰对乳腺癌前哨淋巴结的标识率与放射性示踪剂及其他进口染料的标识率相仿,且价低、易购、副作用小,便于推广。
Objective: To explore the method of successful identification of sentinel lymph node (SLN) in breast cancer. Methods: Seventy-six cases of breast cancer patients were identified by sentinel lymph node using the method of local injection of domestic tumor of mammary gland. Results: There were 49 cases with axillary lymph node enlargement in preoperative examination, 47 cases were successfully identified, 95.9% were identified, 67 cases were found without axillary lymph node enlargement in preoperative examination, 63 cases were successfully labeled with 94.0% , The total identification rate of 94.8%. Conclusion: The detection rate of sentinel lymph node of domestic melanin is similar to the labeling rate of radioactive tracer and other imported dyes, and the price is low, easy to buy and the side effect is small, so it is easy to popularize.