乳腺癌腋窝淋巴结清扫术中行吸脂术的临床意义

doi:10.3969/j.issn.1006-6233.2017.04.016

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Abstract Objective: To explore the clinical significance of liposuction in axillary lymph node dissection of breast cancer. Methods: 120 female patients who underwent modified radical mastectomy were randomly divided into observation group and control group. In the observation group, axillary lymph nodes were dissected after liposuction. The control group received traditional axillary lymph node dissection. Contrastive analysis was made between two groups: operation time, blood loss, number of lymph nodes, postoperative drainage, average extubation days, limb pain, shoulder movement disorders and limb edema. Results: In observation group, the average 19 lymph nodes per patient, much more than the control group of 13 ; the blood loss and postoperative drainage, less than the control group; mean extubation time earlier than the control group; However, the operation time was longer than the control group(P<0.05). 4 cases observed of limb pain, 18 cases in the control group; shoulder movement disorders observation group 3 cases, 15 cases in the control group; 1 case occurred limb edema in observation group, in the control group had 8 cases of upper limb edema, postoperative complications were significantly differences (P <0.05).Subgroup analysis showed that the method can achieve better results in obese patients. Conclusions: The efficacy for liposuction in the axillary lymph node dissection of breast cancer has the following advantages: clearly exposed armpit, remove adequate lymph nodes, less nerves, blood vessels and lymphatic vessels injured, and fewer postoperative complications, is worthy of clinical further promotion

Key words： Breast neoplasms Liposuction/lymph node dissection Postoperative complications

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2017.04.016 OR http://www.hbyxzzs.cn/EN/Y2017/V23/I4/584

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