乳腺癌改良根治术患者实施腋筋膜肿胀法清扫淋巴结对术后并发症的影响
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摘要
目的:观察乳腺癌改良根治术患者实施腋筋膜肿胀法清扫淋巴结对术后并发症的影响。方法:将200例拟行改良根治术治疗的乳腺癌患者随机分为2组各100例,观察组实施腋筋膜肿胀法清扫淋巴结,对照组实施标准清扫法清扫淋巴结,比较2种方法术后并发症发生情况。结果:观察组治疗近期效果总有效率为94.0%,对照组为85.0%,组间比较,差异有统计学意义(P<0.05);观察组手术时间、住院时间等均短于对照组,观察组出血量少于对照组,2组间比较,差异均有统计学意义(P<0.01);观察组患侧上肢淋巴水肿、胸壁及上肢感觉异常、淋巴漏等发生率均低于对照组,差异均有统计学意义(P<0.01,P<0.05);2组局部复发率比较,差异无统计学意义(P>0.05)。结论:腋筋膜肿胀法清扫淋巴结能提高乳腺癌改良根治术治疗效果,降低术后并发症的发生。
Objective:To observe the effect of application of membrane swelling method on postoperative complications for lymphadenectomy in modified radical mastectomy patients. Methods :Selected 200 modified radical mastectomy patients,and divided them into two groups with 100 cases in each randomly. The observation group received membrane swelling method for lymphadenectomy,and the control group received standard lymphadenectomy method. Observed and analyzed incidence of postoperative complications. Results : The total effective rate of short-term outcome was 94.0% in the observation group and was 85.0% in the control group, the difference being significant(P <0.05). Operative time and hospitalization of the observation group were shorter than those of the control group,and the blood loss of the observation group was less than that of the control group, the difference being significant(P <0.01). Incidences of upper limb lymphedema,paresthesia of chest wall and upper limb,and lymphorrhagia of the observation group were lower than those of the control group,the differences being significant(P<0.0 1,P<0.05). There was no significance in the difference of local recurrence rate of the two groups(P>0.05). Conclusion:Membrane swelling method can improve curative effect of modified radical mastectomy in lymphadenectomy,and reduce incidence of postoperative complications.
Objective:To observe the effect of application of membrane swelling method on postoperative complications for lymphadenectomy in modified radical mastectomy patients. Methods :Selected 200 modified radical mastectomy patients,and divided them into two groups with 100 cases in each randomly. The observation group received membrane swelling method for lymphadenectomy,and the control group received standard lymphadenectomy method. Observed and analyzed incidence of postoperative complications. Results : The total effective rate of short-term outcome was 94.0% in the observation group and was 85.0% in the control group, the difference being significant(P <0.05). Operative time and hospitalization of the observation group were shorter than those of the control group,and the blood loss of the observation group was less than that of the control group, the difference being significant(P <0.01). Incidences of upper limb lymphedema,paresthesia of chest wall and upper limb,and lymphorrhagia of the observation group were lower than those of the control group,the differences being significant(P<0.0 1,P<0.05). There was no significance in the difference of local recurrence rate of the two groups(P>0.05). Conclusion:Membrane swelling method can improve curative effect of modified radical mastectomy in lymphadenectomy,and reduce incidence of postoperative complications.
引文
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[4]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2013版)[J].中国癌症杂志,2013,23(8):637-684.
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[6]李海聪,许永健,黄燕华,等.乳腺癌改良根治术腋窝淋巴结清扫的技巧[J].中国医药指南,2013,32(12):255-256.
[7]郭琳,王雪莹,王强.乳腺癌改良根治术后并发症原因分析与预防对策[J].中国现代普通外科进展,2012,26(9):726-727.
[8]尹摇军,罗摇琼,李摇兵,等.两种不同手术技巧对乳腺癌腋窝淋巴结清扫术后并发症的影响[J].中南医学科学杂志,2014,42(5):516-517.
[9]张晨芳,寇晓梅,柯永莉,等.腋筋膜肿胀法清扫淋巴结减少乳腺癌改良根治术后并发症的临床研究[J].局解手术学杂志,2015,24(3):290-292.
[10]许焕玲,李尚仁,关健华,等.乳腺癌改良根治术保留肩胛下肌群筋膜的腋窝淋巴结清扫对腋窝积液的影响[J].岭南现代临床外科,2012,12(3):194-195.
[11]郑波.乳腺癌改良根治术常见并发症原因分析及预防对策[J].中国实用医药,2014,28(3):55-56.
[12]王生智.乳腺癌改良根治术后并发症的临床观察[J].基层医学论坛,2015,19(27):134-136.
[13]张军祥.乳腺癌改良根治术常见并发症原因分析及预防措施探讨[J].中国现代药物应用,2014,28(2):46-47.
[2]郭秀芳.乳腺癌保乳术后并发症降低的临床分析[J].河北医药,2014,36(24):3791-3792.
[3]杨乃久.肿胀液溶脂法对原发性乳腺癌患者腋窝淋巴结清扫手术疗效的影响[J].实用癌症杂志,2015,31(11):128-130.
[4]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2013版)[J].中国癌症杂志,2013,23(8):637-684.
[5]尹军,罗琼,李兵,等.两种不同手术技巧对乳腺癌腋窝淋巴结清扫术后并发症的影响[J].中南医学科学杂志,2014,42(5):516-517.
[6]李海聪,许永健,黄燕华,等.乳腺癌改良根治术腋窝淋巴结清扫的技巧[J].中国医药指南,2013,32(12):255-256.
[7]郭琳,王雪莹,王强.乳腺癌改良根治术后并发症原因分析与预防对策[J].中国现代普通外科进展,2012,26(9):726-727.
[8]尹摇军,罗摇琼,李摇兵,等.两种不同手术技巧对乳腺癌腋窝淋巴结清扫术后并发症的影响[J].中南医学科学杂志,2014,42(5):516-517.
[9]张晨芳,寇晓梅,柯永莉,等.腋筋膜肿胀法清扫淋巴结减少乳腺癌改良根治术后并发症的临床研究[J].局解手术学杂志,2015,24(3):290-292.
[10]许焕玲,李尚仁,关健华,等.乳腺癌改良根治术保留肩胛下肌群筋膜的腋窝淋巴结清扫对腋窝积液的影响[J].岭南现代临床外科,2012,12(3):194-195.
[11]郑波.乳腺癌改良根治术常见并发症原因分析及预防对策[J].中国实用医药,2014,28(3):55-56.
[12]王生智.乳腺癌改良根治术后并发症的临床观察[J].基层医学论坛,2015,19(27):134-136.
[13]张军祥.乳腺癌改良根治术常见并发症原因分析及预防措施探讨[J].中国现代药物应用,2014,28(2):46-47.