三阶段腋窝淋巴按摩可优化使用蓝色染料的前哨淋巴结定位。
Three stage axillary lymphatic massage optimizes sentinel lymph node localisation using blue dye.
作者信息
Kirby Robert M, Basit Abdul, Nguyen Quang T, Jaipersad Anthony, Billingham Rebecca
机构信息
Breast Unit, University Hospital of North Staffordshire, Keele University, Stoke-on-Trent, UK.
出版信息
Int Semin Surg Oncol. 2007 Dec 22;4:30. doi: 10.1186/1477-7800-4-30.
AIMS
This paper describes a simple technique of axillary and breast massage which improves the successful identification of blue sentinel nodes using patent blue dye alone.
METHODS
Patent blue dye was injected in the subdermal part of the retroaroelar area in 167 patients having surgical treatment for invasive breast cancer. Three stage axillary lymphatic massage was performed prior to making the axillary incision for sentinel lymph node biopsy. All patients had completion axillary sampling or clearance.
RESULTS
A blue lymphatic duct leading to lymph nodes of the first drainage was identified in 163 (97%) of the patients. Results are compared with 168 patients who had sentinel lymph node biopsy using blue dye without axillary massage. Allergic reactions were observed in four patients (1.2%).
CONCLUSION
Three stage axillary lymphatic massage improves the successful identification of a blue sentinel lymph node in breast cancer patients.
目的
本文描述了一种简单的腋窝及乳房按摩技术，该技术可提高仅使用专利蓝染料成功识别蓝色前哨淋巴结的概率。
方法
对167例接受浸润性乳腺癌手术治疗的患者，在乳晕后区域的皮下注射专利蓝染料。在进行腋窝切口以进行前哨淋巴结活检之前，进行三阶段腋窝淋巴按摩。所有患者均完成腋窝取样或清扫。
结果
163例（97%）患者中发现了一条通向第一引流区淋巴结的蓝色淋巴管。将结果与168例未进行腋窝按摩而使用蓝色染料进行前哨淋巴结活检的患者进行比较。4例患者（1.2%）出现过敏反应。
结论
三阶段腋窝淋巴按摩可提高乳腺癌患者中蓝色前哨淋巴结的成功识别率。
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