可穿戴设备在乳腺癌前哨淋巴结活检中的应用

Application of wearable device to biopsy of sentinel lymph nodes of breast cancer

摘要:

目的探讨可穿戴式手术导航系统在乳腺癌前哨淋巴结活检中的应用效果。方法选取40 例临床早期乳腺癌患者随机分为Google 组和明德组两组，接受吲哚菁绿作为淋巴示踪剂后分别使用可穿戴式手术导航系统和明德系统进行检测。两组患者均进行常规前哨淋巴结活检手术。结果①在Google 组中，平均完成活检需要的时间相比于明德组所需时间更短，差异有统计学意义（p <0.05)；②Google 组前哨淋巴结检出率、准确率和灵敏度均与明德组相当，差异无统计学意义（p >0.05）；③在检出前哨淋巴结（SLN）数量上Google 组低于明德组，差异有统计学意义（p <0.05）。结论基于Google 眼镜的可穿戴式手术导航系统具有便携、实时及准确的特点，其检验的检出率、准确性和敏感性等方面效果并不亚于目前正在应用的明德系统，而且在提高手术效率、缩短手术时间等方面有更好的效果。

Abstract:

Objective To promote the development and application of the portable surgical navigation system and provide a more effective and feasible diagnostic and treatment method for breast cancer sentinel lymph nodes (SLNs) through comparing the wearable surgical navigation system with the Ming De system. Methods Forty patients with early clinical diagnnose of breast cancer sentinel lymph nodes received ICG as a lymphatic tracer were randomly divided into Google group and Ming De group, which were tested by using the wearable surgical navigation system and the Ming De system, respectively. Two groups of patients underwent conventional SLNB. Results The average time to complete a biopsy was shorter in the Google group than in the Ming De group. The difference was statistically significant (p < 0.05). The detection,accuracy and sensitivity rate of sentinel lymph node in Google group were similar to those in Ming De group,the difference was not statistically significant (p > 0.05). The number of SLNs detected in the Google group was significantly smaller than that in the Ming De group, the difference was statistically significant (p < 0.05).Conclusions Wearable surgical navigation system based on Google glasses is portable, real-time and accurate.Its detection, accuracy and sensitivity rate is not inferior to the Ming De system currently being used. In addition, it has a higher potential in improving the efficiency of surgery to reduce the operation time.