胸小肌瓣腋袖术+全腋窝淋巴结清扫治疗对前哨淋巴结阳性乳腺癌术后上肢功能的恢复观察

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Abstract Objective To observe the effect of pectoralis minor muscle flap axillary sleeve surgery combined with total axillary lymph node dissection on postoperative upper limb function recovery in patients with sentinel lymph node positive breast cancer. Methods From January 2017 to December 2019, a total of 80 patients with sentinel lymph node-positive breast cancer admitted to Fuyang Tumor Hospital and the First Affiliated Hospital of Anhui Medical University were selected as the research objects, and they were divided into the observation group (implementation of pectoralis minor muscle flap axillary sleeve surgery combined with total axillary lymph node dissection) and the control group (total axillary lymph node dissection), with 40 cases in each group. The perioperative basic conditions of the two groups were counted. The wolf motor function test (WFMT) was used to evaluate the upper limb function of the two groups at one, two, and three months after the operation. The quality of life measurement scale for breast cancer patients (FACT-B) was used to assess the postoperative quality of life of the two groups, while the complications of the two groups were compared. Results The length of hospital stay in the observation group was significantly shorter than that in the control group, and the difference was statistically significant (P ＜ 0.05). Comparing the patient time and interaction between the two groups, and the difference was statistically significant (P ＜ 0.05). Further pairwise comparisons, intra-group comparison: the WMFT scores of the two groups at two and three months after the operation were higher than one month after the operation, and the differences were statistically significant (P ＜ 0.05); comparison between groups: the WMFT scores of the observation group at two and three months after operation were significantly higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). The postoperative physiological status, social/family status, emotional status, functional status, additional attention scores and total scores of the observation group were significantly higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). The incidence of concurrency in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Pectoralis minor muscle flap axillary sleeve surgery combined with total axillary lymph node dissection can promote the recovery of upper limb function in patients with early sentinel lymph node positive breast cancer, reduce the incidence of complications, shorten the patients′ hospital stay, and improve the quality of life of patients after the operation.

Key words： Axillary sleeve surgery with pectoralis minor muscle flap Total axillary lymph node dissection Sentinel lymph node positive Mammary cancer

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	YU Guangqun1 LIU Feng1 WANG Benzhong2 XIAO Dawang1

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YU Guangqun1 LIU Feng1 WANG Benzhong2 XIAO Dawang1. Pectoralis minor muscle flap axillary sleeve surgery + total axillary lymph node dissection for the recovery of upper limb function after sentinel lymph node positive breast cancer[J]. 中国医药导报, 2020, 17(24): 169-172,188.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I24/169

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