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目的探讨乳腔镜腋窝淋巴结清扫术的治疗效果及操作技巧。方法回顾分析2008年12月以来50例腔镜腋窝淋巴结清扫术和50例传统腋窝淋巴结清扫手术乳腺癌患者的临床资料。分别比较两组平均手术时间、出血量、清扫淋巴结数目、淋巴结转移数、住院时间及术后并发症的发生率。结果两组平均清扫淋巴结数目、淋巴结转移数、住院时间差异无统计学意义(P>0.05)。腔镜组平均手术时间为(221.85±19.61)min,较常规手术组时间显著延长(P=0.000),但术中出血量少(P=0.012),术后并发症发生率低(P=0.034)。结论乳腔镜腋窝淋巴结清扫术具有创伤小、操作简单、并发症少、术后恢复快、瘢痕小等优点,是一种值得推广的手术方法,但腔镜操作延长了手术时间,其手术技巧有待进一步提高。
Objective To investigate the treatment effect and operation skills of laparoscopic axillary lymph node dissection. Methods The clinical data of 50 patients with axillary lymph node dissection after axillary lymph node dissection and 50 patients with traditional axillary lymph node dissection surgery since December 2008 were retrospectively analyzed. The mean operative time, the amount of bleeding, the number of lymph nodes, the lymph node metastasis, the length of hospital stay and the incidence of postoperative complications were compared between the two groups. Results There was no significant difference in the number of lymph nodes, lymph node metastasis and hospital stay between the two groups (P> 0.05). The mean operation time in the endoscopic group was (221.85 ± 19.61) min, significantly longer than that in the conventional operation group (P = 0.000), but less blood loss (P = 0.012) and lower postoperative complication rate (P = 0.034 ). Conclusions The laparoscopic axillary lymph node dissection has the advantages of less trauma, simple operation, less complications, quick recovery after operation, small scar and so on. It is worth to popularize the operation method of laparoscopic axillary lymph node dissection. However, laparoscopic operation prolongs the operation time, To be further improved.