论文部分内容阅读
目的总结改良旧儿玉法在乳腺癌改良根治术中的应用的经验和效果,以提高乳腺癌的治疗效果。方法对该院40例乳腺癌病人采用改良旧儿玉法手术的经验和疗效进行分析。结果改良的儿旧玉法清除的LevelⅢ组淋巴结的个数在1～7枚,平均4.82枚,胸大小肌之间的Rotter淋巴结清除个数2～4枚,平均3.31个。39例病人无胸壁局部复发,胸大肌外形饱满无塌陷,张力良好,上肢功能及肌力接近于对侧。结论改良儿旧玉法易于完成腋窝LevelⅢ淋巴结的清扫,对于需行锁骨下组淋巴结清扫乳腺癌均可采用此法清除腋窝高位组淋巴结,安全易行,疗效理想。
Objective To summarize the experience and effect of modified Jade Method in modified radical mastectomy of breast cancer so as to improve the therapeutic effect of breast cancer. Methods Forty patients with breast cancer in our hospital were analyzed with experience and efficacy of modified jade method. Results The number of lymph nodes in Level Ⅲ group was 1.78, an average of 4.82, and the number of Rotter lymph nodes between chest and small muscles was 2-4, an average of 3.31. 39 cases of patients without chest wall local recurrence, pectoralis major shape full without collapse, good tension, upper limb function and muscle strength close to the contralateral. Conclusions The improved Jieru method is easy to accomplish the axillary lymph node dissection. It is safe and easy to remove lymph nodes in axillary group by this method.