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目的对脂肪溶解液在乳腺癌腋淋巴结清扫术中的应用的疗效进行评价。方法对37例乳腺癌患者行改良根治术,先将脂肪溶解液注射于腋窝行脂肪抽吸后进行腋窝淋巴结清扫,保留区域神经、血管分支。结果单纯腋窝淋巴结清扫过程一般需20min左右,单侧腋窝淋巴结清扫最少9枚,最多26枚,平均15.6枚,所用患者随访半年,均无腋窝复发,无上肢水肿、麻木、肩关节运动障碍等并发症。结论脂肪溶解液应用与乳腺癌腋淋巴结清扫术具有手术操作简洁、能有效缩短手术的时间,提高清扫效果,使保留腋窝主要神经、血管及淋巴管易于执行,从而能显著减少术后并发症,值得基层医院推广。
Objective To evaluate the efficacy of lipolysis solution in axillary lymph node dissection of breast cancer. Methods Thirty-seven patients with breast cancer underwent modified radical mastectomy. Lipolysis solution was first injected into the armpit to perform axillary lymph node dissection after liposuction, and the nerve and blood vessel branches were reserved. Results The simple axillary lymph node dissection required about 20min, unilateral axillary lymph node dissection at least 9, up to 26, an average of 15.6, the patients were followed up for six months, no axillary recurrence, no upper extremity edema, numbness, shoulder movement disorders and other complications disease. Conclusion The application of lipolysis solution and breast cancer axillary lymph node dissection has the advantages of simple operation, shortened operation time, improved cleaning effect, easy maintenance of axillary main nerves, blood vessels and lymphatic vessels, which can significantly reduce postoperative complications, Worth grass-roots hospitals to promote.