罗哌卡因用于乳腺癌术后伤口渗透与腋窝淋巴结清扫手术的研究

摘要

Objective To study the postoperative ropivacaine wound infiltration for breast cancer with axillary lymph node dissection. Methods 87 women with breast cancer to participate in the study, patients were randomly assigned into two groups, preoperative subcutaneous infiltration of TLA group and wound infiltration (POW) group. Study the average shoulderabduction angle, the average armpit leak, the average breast leak, breast leakarmpits and the average number of days missed, and visual analog scale (VAS) score. Results Surgery with preoperative TLA had longer operative time (P<0.05). TLA infiltration group earlier than POW's in armpit leak (P<0.05).The difference between the other indicators were not statistically significant (P>0.05). Conclusion Ropivacaine wound infiltration for breast cancer and axillary lymph nodedissection, except the time in addition axillary drain, the other effects have no significant differences.%　　目的探讨罗哌卡因用于乳腺癌术后伤口渗透与腋窝淋巴结清扫手术的效果.方法87名乳腺癌妇女被随机分为两组，术前皮下肿大局部浸润(TLA)的渗透组和伤口浸润(POW)组.研究两组的平均肩外展角、平均腋下漏、平均乳房漏、漏腋窝和乳房漏平均天数以及视觉模拟评分(VAS).结果具有术前TLA的手术时间比无TLA的手术时间短(P<0.05).前TLA浸润组比POW组的腋窝漏早一些(P<0.05).其他指标之间的差异均没有统计学意义(P>0.05).结论罗哌卡因用于乳腺癌术后伤口渗透与腋窝淋巴结清扫手术之间，除了手术时间和腋窝漏外，其他的效果并没有显著差异.