乳腺癌胸腔镜内乳淋巴结清扫术临床研究.docVIP

乳腺癌胸腔镜内乳淋巴结清扫术临床研究 　　[摘要] 目的 探讨胸腔镜下行内乳淋巴结清扫术治疗乳腺癌的临床效果。 方法 选择本院2008年5月～2012年9月收治的乳腺癌内乳淋巴结转移高风险患者24例，其中14例患者在乳腺癌改良根治术后采用胸腔镜下内乳淋巴结清扫（观察组），10例行乳腺癌改良扩大根治术（对照组），比较两组患者的术中出血量、检出淋巴结数、转移和生存率、并发症等。 结果 观察组出血量明显低于对照组（P0.05）。 结论 乳腺癌胸腔镜内乳淋巴结清扫术相比乳腺癌改良扩大根治术更简便、安全、微创，且可为乳腺癌分期、治疗计划制订、预后评估提供更全面的信息。 　　[关键词] 乳腺癌；胸腔镜；内乳淋巴结清扫术 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-4721（2013）11（a）-0027-03 　　Clinical research on thoracoscopic internal mammary lymph nodes dissection for breast cancer 　　HE Chun XU Chen-yang HUANG Xing-wei HUANG Mou-qing YUAN Huo-zhong ZHANG Gong-liang XIAO Zhen-yu XI Xun 　　The Second Department of General Surgery，People′s Hospital of Ganzhou City in Jiangxi Province，Ganzhou 341000，China 　　[Abstract] Objective To explore the clinical therapeutic effects of thoracoscopic internal mammary lymph nodes dissection in the treatment of breast cancer. Methods 24 breast cancer patients with high risk of internal mammary lymphatic metastasis admitted into our hospital from May 2008 to September 2012 were selected.Among them，there were 14 patients were applied with thoracoscopic internal mammary lymph nodes dissection after modified radical mastectomy for breast cancer，which were classified into observation group.The rest 10 patients were only performed with modified extended radical mastectomy for breast cancer，and selected as control group.The intraoperative blood loss，the amount of detected lymph nodes，rates of metastasis and survival， and complications were compared in both groups. Results The intraoperative blood loss in the observation group was remarkably lower than that of the control group （P0.05）. Conclusion In comparison with modified extended radical mastectomy for breast cancer，the thoracoscopic internal mammary lymph nodes dissection is micro-invasive，easier and safer.Besides，it provides the more comprehensive information for staging of breast cancer，formation of therapeutic scheme，and evaluation of prognosis. 　　[Key words] Breast cancer；Thoracoscope；Internal ma