论文部分内容阅读
目的:探讨脂肪溶解液在乳癌腋窝淋巴结清扫术中的应用。方法:对19例术前扪及或彩超提示腋窝淋巴结肿大的乳癌患者行改良根治术。腋窝注射脂肪溶解液及脂肪抽吸后进行淋巴结清扫术,术中保留肋间臂神经、胸长神经及胸背神经。结果:手术平均用时100min,术中出血少,平均每例取出淋巴结16.3个,全部患者病理检查均有淋巴结转移,平均转移4.5个。所有患者术后均无明显并发症,术后平均随访6个月,患者均无腋窝肿瘤复发、肩关节活动障碍、上肢水肿及麻痹等情况。结论:采用脂肪溶解液及脂肪抽吸方法的腋淋巴结清扫术,具有操作简单、省时,淋巴结清扫较彻底、神经血管损伤少及术后并发症少等优点。
Objective: To investigate the application of fat lysate in axillary lymph node dissection of breast cancer. METHODS: Modified radical mastectomy was performed in 19 breast cancer patients who had preoperative or color Doppler ultrasound imaging of axillary lymph nodes. Axillary lymph node dissection was performed after apoptotic injection of lipolysis fluid and liposuction. The intercostobrachial nerve, long chest nerve, and thoracodorsal nerve were preserved during the operation. RESULTS: The average time of operation was 100 minutes, intraoperative blood loss was minimal, and 16.3 lymph nodes were removed from each case. Lymph node metastasis was observed in all patients. The average metastasis was 4.5. All patients had no postoperative complications. After an average follow-up of 6 months, there were no recurrences of axillary tumors, shoulder joint movements, upper limb edema, and paralysis. CONCLUSION: Axillary lymph node dissection with fat dissolving solution and liposuction method has the advantages of simple operation, time saving, complete lymph node dissection, less neurovascular injury, and less postoperative complications.