摘要
Abstract
Objective To investigate the effect of breast conserving surgery combined with endoscopic axillary lymph node dissection in the treatment of early breast cancer.Methods A total of 66 patients with early breast cancer admitted to the Department of Breast and Thyroid Surgery of Zibo Maternal and Child Health Hospital from September 2021 to December 2022 were selected as the study objects,and were divided into the control group and the observation group according to odd-even grouping method,with 33 cases in each group.The control group underwent breast conserving surgery combined with conventional axillary lymph node dissection,and the observation group underwent breast conserving surgery combined with endoscopic axillary lymph node dissection.The range of motion of shoulder joint,the total incidence of complications,the retention time of drainage tube and the postoperative drainage volume were compared between the two groups.Results Three months after surgery,the range of motion of shoulder joint in both groups was smaller than that before surgery,but that in the observation group was larger than that in the control group(P<0.05).The total complication rate of the observation group was lower than that of the control group(P<0.05).The retention time of drainage tube in the observation group was shorter than that in the control group,and the postoperative drainage volume in the observation group was less than that in the control group(P<0.05).Conclusion Breast conserving surgery combined with endoscopic axillary lymph node dissection in the treatment of early breast cancer can reduce the influence on the range of motion of shoulder joint,reduce the incidence of complications,shorten the retention time of drainage tube and reduce the postoperative drainage volume,which is worthy of clinical promotion.关键词
乳腔镜腋窝淋巴结清扫术/早期乳腺癌/保乳术/肩关节活动度/并发症总发生率Key words
Endoscopic axillary lymph node dissection/Early breast cancer/Breast conserving surgery/Range of motion of shoulder joint/Total complication rate分类
医药卫生