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目的比较超声刀与普通电刀在乳腺癌腋窝淋巴结清扫术中的应用效果。方法选择接受乳腺癌根治术治疗的84例患者作为研究对象,以住院号奇偶随机性分为两组,每组42例,术中以电刀行腋窝淋巴结清扫者为电刀组,术中以超声刀行腋窝淋巴结清扫者为超声刀组,比较两组治疗效果。结果超声刀组术中出血量、术后引流量及引流时间较电刀组减少,术后皮下积液发生率较电刀组降低(P<0.05),但两组手术时间及腋窝淋巴结清扫数目比较差异未见统计学意义(P>0.05)。结论在乳腺癌根治术中应用超声刀行腋窝淋巴结清扫安全、有效,能促进患者恢复,值得临床推广应用。
Objective To compare the application of ultrasonic knife and common electric knife in axillary lymph node dissection of breast cancer. Methods Eighty-four patients undergoing radical mastectomy for breast cancer were selected as study subjects. Randomized hospitalization was divided into two groups of 42 patients in each group. Electro-knife axillary lymph node dissection was performed in the surgery group, Ultrasound knife axillary lymph node dissection for the ultrasound knife group, the two groups were compared. Results The bleeding volume, postoperative drainage volume and drainage time of the ultrasonic knife group were lower than those of the electric knife group, and the incidence of postoperative subcutaneous effusion was lower than that of the electric knife group (P <0.05). However, the operation time and number of axillary lymph node dissection The difference was not statistically significant (P> 0.05). Conclusion The axillary lymph node dissection is safe and effective in radical mastectomy of breast cancer. It can promote the recovery of patients and is worthy of clinical application.