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目的探讨溶脂、抽脂术在传统乳腺癌腋淋巴清扫中的可行性及安全性。方法对2006年6月至2009年05月深圳市第六人民医院普外科诊治64例乳腺癌的临床资料进行对比分析。64例随机分为溶脂、抽脂组(33例)和传统腋淋巴结清扫组(31例),对比分析两组术中出血、淋巴清扫数目、肋间臂神经保护等情况。结果溶脂、抽脂组手术时间长于传统组(P<0.05),两组术中岀血量比较差异无统计学意义(P>0.05),清扫淋巴结总数及阳性淋巴结数的差异无统计学意义(P>0.05)。两组随访6个月至2年,均无复发与转移。结论溶脂、抽脂组可明显提高肋间臂神经保护的成功率(P<0.05),其淋巴结清除率可达到传统手术标准,是一种安全可行的方法。
Objective To investigate the feasibility and safety of lipolysis and liposuction in axillary lymph node dissection of traditional breast cancer. Methods The clinical data of 64 cases of breast cancer diagnosed and treated by General Surgery of the Sixth People’s Hospital of Shenzhen from June 2006 to May 2009 were compared and analyzed. Sixty-four patients were randomly divided into three groups: liposolvation, liposuction group (n = 33) and conventional axillary lymph node dissection group (n = 31). The bleeding, lymphadenectomy and intercostobrachial nerve protection were compared between the two groups. Results The operation time of lipolysis and liposuction group was longer than that of the traditional group (P <0.05). There was no significant difference in blood volume between the two groups (P> 0.05), and there was no significant difference between the total number of lymphatic nodes and the positive lymph nodes (P> 0.05). Two groups were followed up for 6 months to 2 years, no recurrence and metastasis. Conclusion Lipid-dissolving liposuction group can significantly improve the success rate of intercostobrachial nerve protection (P <0.05), and its lymph node clearance rate can reach the standard of traditional surgery, which is a safe and feasible method.