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目的探讨经乳晕或乳腔镜辅助保乳手术联合常规腋窝淋巴结清扫治疗乳腺癌的效果。方法2001年8月～2003年11月,对19例直径<2cm、距离乳头>2cm的乳腺癌经乳晕或乳腔镜辅助行保乳手术,腋窝脂肪溶解抽吸后常规开放性腋窝淋巴结清扫。结果1例术中冰冻病理报告一侧切缘镜下癌残留,经扩大切除后转阴。术后2例乳房创面皮下积液,抽洗加压包扎消失。保留的乳房形态良好,伤口小而隐蔽,所有患者对手术效果满意。术后随访2～19个月,平均106月,未见乳腺和腋窝肿瘤复发。结论经乳晕或乳腔镜辅助下,借助乳腔镜器械可以方便地完成乳腺癌保乳手术,联合常规腋窝淋巴结清扫,手术效果肯定。
Objective To investigate the effect of breast-conserving surgery combined with breast-mirror assisted breast-conserving surgery and conventional axillary lymph node dissection in the treatment of breast cancer. Methods From August 2001 to November 2003, 19 breast cancer patients with diameter less than 2 cm and distance of 2 cm from the nipple were treated with breast-conserving surgery or breast-mirror assisted breast-conserving surgery. Axillary lymph node dissection was routinely performed after axillary lipolysis and aspiration. Results One case of intraoperative frozen pathology report on the side of the margins of microscopic residual cancer, enlarged and removed after the negative. 2 cases of postoperative breast wound subcutaneous fluid, pressure bandage disappeared after pumping. Breast shape retained good, small and hidden wounds, all patients satisfied with the surgery. All cases were followed up for 2 to 19 months with an average of 106 months. No recurrence of breast and axillary tumors was found. Conclusions With the help of areola or laparoscopy, breast-conserving surgery can be conveniently performed with the help of laparoscopic instruments, and the operation effect is confirmed with conventional axillary lymph node dissection.