摘要
目的：研究拓宽乳腺癌保留乳房治疗的指征及改善术后美容效果的手术方法。方法：对65例临床T1-3N0-2M。乳腺癌患者行肿瘤切除＋全腋淋巴结清除术，达到切缘阴性，术中采用双旋转乳腺皮瓣进行乳腺整形，辅以放、化和（或）内分泌治疗。结果：65例清除腋窝淋巴结8～26枚／例，平均16枚／例，术后中位随访时间为68个月，均无局部复发，3、5、8年生存率分别为100％、91．67％和86．67％。保留乳房的美容效果满意率为95．38％。结论：采用双旋转乳腺皮瓣行乳腺癌保留乳房手术，可以拓宽乳腺癌保留乳房治疗的指征，提高术后美容效果的满意度，不降低肿瘤局部控制率及生存率。
OBJECTIVE： To investigate an operation method to develop breast cancer remaining breast therapy indication and improve postop. cosmetic results. METHODS： Sixty-five patients with T1- 3 N0-2 M0 breast cancer were treated by conservative surgery plus axillary lymph node dissection, which could achieve incisal margin negative, executed mammary gland reshaping by Dis-Side Rotation Flap during operation, being assisted with radiotherapy, chemotherapy and/or endocrine therapy. RESULTS： In 65 cases, the number of lymph node dissection was 8-26 per case, and the average was 16 per case. During 68 months of postop, median follow-up visit time, the local recurrence rate was zero. The 3-, 5-, 8-year overall survival rates were 100%, 91.67%, 86.67% respectively. The satisfae tion rate of reserving breast cosmetic result was 95.38%. CONCLUSIONS： Applying Dis-Side Rotation Flap during breast cancer remaining breast operation could develop breast cancer remaining breast therapy indication, improve postop, cosmetic result, no degrading tumour local control rate and survival rate.
出处
《中华肿瘤防治杂志》
CAS
2007年第3期205-208,共4页
Chinese Journal of Cancer Prevention and Treatment
