摘要
目的 研究经肋间隙取内乳区前哨淋巴结活检术的临床意义。方法 选取2006年1月~2016年1月期间在我院应用染色法进行前哨淋巴结活检和游离乳腺周边时发现前哨淋巴结位于内乳区的乳腺癌患者,进行经肋间隙入路的内乳区前哨淋巴结活检术共100例,对局部肋间隙的宽度、胸廓内动脉距胸骨外缘的距离和内乳区前哨淋巴结的转移情况进行观察。结果 共切除内乳区前哨淋巴结148个,有9例内乳区淋巴结转移而腋下未见转移,28例腋窝淋巴结转移而内乳区未见转移,有10例内乳区和腋下均查见淋巴结转移。各肋间隙的宽度为[（14.03±3.85）mm、（15.98±3.86）mm、（13.88±3.95）mm和（9.87±3.64）mm）],胸廓内动脉距胸骨外缘的距离为[（10.85±4.52）mm、（11.63±2.78）mm、（9.54±3.71）mm和（4.54±3.58）mm）]。结论 经肋间隙取内乳区前哨淋巴结活检术可为明确内乳区前哨淋巴结转移状况提供参考依据。
Objective To study the clinical signiifcance of intercostal space taken by mammary sentinel lymph node biopsy.Methods 100 cases carried out internal mammary sentinel lymph node biopsy by the internal intercostal space approach were selected from January 2006 to January 2016 when the sentinel lymph node biopsy and breast surrounding the free application in our hospital staining in breast cancer patients found that sentinel lymph node is located within the breast area. The local intercostal space width, the distance from the sternum internal thoracic artery to outer edge of the sternum, internal mammary sentinel lymph node metastasis were observed. Results Total resection internal mammary sentinel node was 148, there were internal mammary lymph node metastasis in 9 cases and no axillary metastasis, 28 cases of axillary lymph node metastases and no internal mammary metastasis, 10 cases within the breast area and armpits were checked to see Lymph node metastasis. Each intercostal space width were [（14.03±3.85）mm,（15.98±3.86）mm,（13.88±3.95）mm,（9.87±3.64）mm], the distance from the internal thoracic artery to the outer edge of the sternum were [（10.85±4.52）mm,（11.63±2.78）mm,（9.54±3.71）mm,（4.54±3.58）mm]. ConclusionThe internal intercostal space taken mammary sentinel lymph node biopsy can provide reference for the clear internal mammary sentinel lymph node metastasis.
出处
《中国继续医学教育》
2016年第24期51-52,共2页
China Continuing Medical Education
基金
开封市科技发展计划项目(NSK20110356)
关键词
内乳区前哨淋巴结
活检术
经肋间隙
Internal mammary sentinel lymph node
Biopsy
Intercostal space
