超声刀在乳腺癌全乳切除和腋窝淋巴结解剖术中的应用

摘要

Objective To study the therapeutic effectiveness of ultrasonically activated scalpel (UAS)in the total mastectomy and axillary lymph node dissection for breast cancer.Methods A retrospective analysis was performed on 177 patients who received total mastectomy and axillary lymph node dissection for mastocarcinoma.The 177 patients were divided into two groups:91 cases were subjected to UAS combined with high frequency electrotome( HFE), and 86 cases to HFE only.Operative time, blood loss, postoperative 24 h drainage volume, indwelling duration of drainage tube, and postoperative complications in the two groups were compared.Results The operative time,blood loss,postoperative 24 h drainage volume,indwelling duration of drainage tube in group of UAS combined with HFE were dramatically decreased as compared with HFE group( P ＜ 0.05 ).However there was no significant difference in postoperative incidence of subcutaneous seroma between the two groups( P ＞ 0.05 ).Conclusion The therapeutic effectiveness of UAS combined with HFE is better than that of HFE alone in total mastectomy and axillary lymph node dissection for breast cancer.%目的 研究超声刀在乳腺癌全乳切除和腋窝淋巴结解剖术中的应用效果.方法 回顾性分析177例乳腺癌全乳切除和腋窝淋巴结解剖术患者的临床资料,其中91例联合使用超声刀与电刀,86例单用电刀,比较两组手术时间、术中出血量、术后引流情况、引流管放置时间、以及并发症的发生率.结果 超声刀/电刀联合组手术时间、术中出血量、术后24h引流量、引流管放置时间均明显优于单用电刀组(P<0.05);而术后皮下积液的发生率两组差异无统计学意义(P>0.05).结论 在乳腺癌全乳切除和腋窝淋巴结解剖术中超声刀/电刀联合应用比单用电刀有明显的优势.