中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (02): 140-141.

• 论著 • 上一篇    下一篇

溶脂抽脂术用于乳腺癌腋淋巴结清扫可行性研究

林宗伟1，赖平妹1，谢有志1 ，罗    琼2   

  1. 1深圳市第六人民医院普外科，广东深圳518052；2广州医学院研究生部，广东广州510182
  • 出版日期:2010-02-01 发布日期:2010-03-11

  • Online:2010-02-01 Published:2010-03-11

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摘要：

目的    探讨溶脂、抽脂术在传统乳腺癌腋淋巴清扫中的可行性及安全性。方法    对2006年6月至2009年05月深圳市第六人民医院普外科诊治64例乳腺癌的临床资料进行对比分析。64例随机分为溶脂、抽脂组（33例）和传统腋淋巴结清扫组（31例），对比分析两组术中出血、淋巴清扫数目、肋间臂神经保护等情况。 结果    溶脂、抽脂组手术时间长于传统组（P<0.05）, 两组术中岀血量比较差异无统计学意义（P>0.05），清扫淋巴结总数及阳性淋巴结数的差异无统计学意义（P>0.05）。两组随访6个月至2年，均无复发与转移。 结论    溶脂、抽脂组可明显提高肋间臂神经保护的成功率（P<0.05），其淋巴结清除率可达到传统手术标准，是一种安全可行的方法。

关键词: 乳腺癌; , 吸脂术; , 淋巴结清扫术

Abstract:

Application of liposuction in traditional axillary dissections in breast cancer        LIN  Zong-wei*，LAI Ping-mei, XIE You-zhi，et al. *Department of Gastrointestinal Surgery，Shenzhen Sixth Hospital, Shenzhen 518052,  China
Corresponding author: LUO Qiong，E-mail: anncxa@hotmail.com
Abstract    Objective    To explore the feasibility and safety of liposuction in traditional axillary dissections in breast cancer. Methods    The clinical data of 64 patients with breast cancer admitted between June 2006 and May 2009 in the Department of Gastrointestinal Surgery of Shenzhen Sixth Hospital were analyzed comparatively. The patients were divided into  traditional axillary dissections group (n=31) and liposuction group (n=33) randomly. It compared and analyzed intraoperative hemorrhage, the number of lymph nodes dissected and intercostobrachial nerve (ICBN) protection. Results    Operative time in liposuction group was longer than traditional axillary dissections group (P<0.05) significantly. There was no significant difference between two groups in intraoperative hemorrhage (P>0.05). There was no significant difference between two groups in the total number of lymph nodes dissected and the number of positive lymph nodes dissected (P>0.05). No local recurrence and distant metastases were found in two groups during a half to 2-year follow-up period. Conclusion    Liposuction can improve the success rate of intercostobrachial nerve protection (P<0.05) and the extent of lymh node dissections may reach the standard of traditional axillary dissections, which is safe and feasible.

Key words: breast cancer, liposuction, axillary dissections