摘要
目的分析乳腺癌改良根治并即刻假体再造术的疗效及影响患者术后乳房外形的因素。方法前瞻性的对患者术后情况进行随访。根据患者术后乳房外形恢复情况将其分为外形不良组和外形优良组。比较两组患者的临床资料与其术后乳房外形恢复的关系。结果术后患者乳房外形优良患者126例(88.73%)。高龄(OR=0.219,95%CI=0.112～0.428)是患者术后乳房外形不良的保护因素,外上象限病变(OR=3.412,95%CI=1.179～9.874)、肿块>2 cm(OR=3.589,95%CI=1.129～11.409)、术后放疗(OR=7.783,95%CI=2.239～53.653)是患者术后乳房外形不良的危险因素。Logistic回归方程总的预测正确率为93.0%。结论针对影响患者术后乳房外形的危险因素,应采取相应的针对性措施,以提高手术疗效。
Objective To analyze the curative effect of modified radical mastectomy and immediate prosthetic reconstruction for breast cancer patients and influencing factors of postoperative breast shape. Methods Postoperative patients were followed up. On the basis of the breast shape postoperative recovery, patients were divided into bad form group and fine shape group. The clinical data and postopera- tive breast shape recovery of two groups were compared. Results The excellent breast shape in patients were 126 cases（88.73% ）. Age （OR = 0. 219,95% CI = 0.112 -0.428 ） was protective factor in breast shape for patients postoperative, while the. upper outer quadrant lesions （ OR = 3.412,95 % CI = 1.179 - 9. 874）, tumor 〉 2 cm （ OR = 3. 589,95 % CI = 1. 129 - 11. 409 ）, postoperative radiotherapy （ OR = 7. 783,95% CI = 2. 239 - 53. 653 ） were risk factors in breast shape for patients postoperative. The total predict rate of logistic regres- sion equation were 93%. Conclusion Corresponding measures should be baken to improve the effect of operation for breast cancer pa- tients.
出处
《安徽医药》
CAS
2013年第2期247-249,共3页
Anhui Medical and Pharmaceutical Journal
关键词
乳腺癌
改良根治术
影响因素
breast cancer
modified radical mastectomy
impact factor
