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目的探讨基层医院开展乳腺癌前哨淋巴结活检的临床意义及可行性。方法 40例乳腺癌患者使用亚甲蓝示踪进行前哨淋巴结活检,分析前哨淋巴结活检与根治性腋窝淋巴结清扫的关系。结果 40例患者前哨淋巴结的检出率为87.5%,假阴性率为0,准确率为100.0%。结论前哨淋巴结活检能准确提示乳腺癌患者腋窝淋巴结的现状,利于临床医生决定患者的治疗方案,采用亚甲蓝示踪前哨淋巴结活检方法简单、易行,适合基层医院开展。
Objective To investigate the clinical significance and feasibility of primary sentinel lymph node biopsy in primary hospitals. Methods 40 cases of breast cancer patients were screened by methylene blue for sentinel lymph node biopsy, and the relationship between sentinel lymph node biopsy and radical axillary lymph node dissection was analyzed. Results The detection rate of sentinel lymph node in 40 cases was 87.5%, the false negative rate was 0 and the accuracy rate was 100.0%. Conclusions Sentinel lymph node biopsy can accurately indicate the status of axillary lymph nodes in patients with breast cancer, which will help clinicians to decide the treatment plan for patients. Using methylene blue to track sentinel lymph node biopsy is simple and easy to carry out and is suitable for primary hospitals.