Eight patients treated with modified radical mastectomy and fenestration of pectoralis muscle to preserve pectoral, nerves are reported and the practical procedure is introduced. The results indicate that this method can overcome the disadvantage of mastectomy (Auchincloss) in that only dissection of fatty tissue and lymph nodes in the lateral part of axilla is carried out. With fenestration of pectoralis major muscle, not only the pectoral nerves can be perserved but also the fatty tissue and lymph nodes, including of those medial to the pectoralis minor, subclavicular and interpectoral nodes can be dissected. This method almost reached Halsted’s demand and it can be used for stage Ⅰ-Ⅱ, and even stage Ⅲ breast cancer if no infiltration to pectoralis major muscle is found.
目的 探讨β —七叶皂甙钠对乳腺癌术后患侧上肢水肿的预防作用。方法 84例乳腺癌患者配对后分为实验组和对照组。对照组给予手术等常规治疗，实验组术后另给予β —七叶皂甙钠10～20 mg静脉推注，每12小时1次，连用7～10天，观察两组患者术后患侧上肢水肿的发病率。结果 对照组术后患侧上肢水肿发生率为20.93%(9/43)，实验组为4.88%(2/41)，两组之间差异有显著性意义。结论 β —七叶皂甙钠对乳腺癌术后患侧上肢水肿的发生有预防作用。