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目的研究超声刀在乳腺癌改良根治术中的应用效果。方法回顾性分析77例乳腺癌改良根治术患者的临床资料,其中41例使用超声刀,36例用电刀,对比两组手术时间、术中出血量、术中副损伤(血管、淋巴管、神经损伤)率、淋巴结检出数、术后24 h引流量、腋窝引流管留置时间、拆线时间、术后住院时间、术后再出血、皮瓣坏死、皮下积液等术后并发症的发生率。结果两组比较手术时间、术中出血量、术中副损伤率、术后再出血率、皮瓣坏死率、皮下积液率和淋巴结检出数无明显差别(P>0.05);对比术后24 h引流量、腋窝引流管留置时间、住院时间、拆线时间,超声刀组均优于电刀组(P<0.05或P<0.01)。结论在乳腺癌改良根治术中应用超声刀效果好,并发症发生率低,术后恢复时间短,值得推广。
Objective To study the application of ultrasonic knife in radical mastectomy of breast cancer. Methods The clinical data of 77 patients with modified radical mastectomy of breast cancer were retrospectively analyzed. Among them, 41 cases were treated with ultrasonic knife and 36 cases with electric knife. The operative time, intraoperative blood loss, intraoperative and postoperative injury (blood vessels, lymphatic vessels, Nerve injury) rate, the number of lymph nodes, the amount of drainage 24 hours after surgery, armpit drainage tube indwelling time, stitches time, postoperative hospital stay, postoperative rebleeding, flap necrosis, subcutaneous fluid and other postoperative complications Occurrence rate. Results There was no significant difference between the two groups in the time of operation, the amount of intraoperative blood loss, the rate of intraoperative injury, the rate of postoperative hemorrhage, the rate of skin flap necrosis, the subcutaneous effusion rate and the number of lymph node detection (P> 0.05) 24 h drainage, armpit drainage tube indwelling time, hospital stay, stitches time, ultrasonic knife group were better than the electric knife group (P <0.05 or P <0.01). Conclusion The modified radical mastectomy in breast cancer with good results, low incidence of complications, postoperative recovery time is short, it is worth promoting.