FOCUS超声刀在乳腺癌腋窝淋巴结清扫中的应用效果观察.pdf

·758 · 吉林医学201 年12月第35卷第3 期 F CUS超声刀在乳腺癌腋窝淋巴结清扫中的应用效果观察 王 强，江 川，顾伟青 （福建医科大学附属闽东医院肿瘤科，福建 福安 35000） ［摘 要］ 目的：研究FOCUS超声刀应用在乳腺癌腋窝淋巴结清扫中的效果及安全性。方法：分别应用HARMONIC超声刀 配备FOCUS刀头（研究组6 例）及高频电刀（对照组67 例）行乳腺癌腋窝淋巴结清扫，比较两组的手术时间、平均腋窝引流时 间、术后平均住院时间及出血量和清扫腋窝淋巴结数目。结果：研究组的手术时间、平均腋窝引流时间及术后平均住院时间均短 于对照组，出血量及清扫腋窝淋巴结数目二者差异无统计学意义（P 0.05）。结论：应用超声刀行腋窝淋巴结清扫安全可靠，且 可缩短手术时间、术后腋窝引流时间及术后平均住院天数，减少腋窝引流量。 ［关键词］ 超声刀；乳腺癌；腋窝淋巴结清扫 Axillary LymphNodeDissection withFocusHarmonic Scalpel inBreast Cancer WANGQiang，JIANGChuan，GU Wei-qing（Department of Oncology，TheAffiliatedMindong Hospital of ujianMedical University，uan355000，China） Abstract：bjective To evaluate the effect and safety of Focus harmonic scalpel applied in axillary lymph nodes dissectionfor breast cancer.Method Thepatientswhoundergoneaxillary lymphnodesdissectionforbreast cancerweredevidedintotheresearchgroup（6 pa- tients）and the control group（67 patients）.Thepatientsof theresearchgroupwereoperatedwith HARMONICscalpel andFOCUSbit，and those of the control groupwere operatedwith highfrequency electrotome.The operation time，averagetime of armpit draining，average post- operative hospitalization days，bleeding volume andnumber of dissectedaxillary nodeswerecomparedbetweenthetwogroups.Results The operation time，average time of armpit draining，average postoperative hospitalization days of the research group were significantly shorter than those of the control group.However，therewas no significant difference in bleeding volume and number of dissected axillary nodesbe- tween the two groups（P 0.05 ）.Conclusion Compared to that with high frequency electrotome，axillary lymph nodes dissection with HARMONIC FOCUSwas safe and effective，which could shorten the operation time，average time of armpit draining，average postoperative hospitalization days，and reduce armpit draining volume. Key Words：Harmonic scalpel；Breast cancer；Axillary lymph node dissection