摘要
目的:比较球拍形切口乳房成形术与非整形保乳手术治疗早期乳腺癌的临床疗效。方法:选取笔者医院2013年5月-2015年5月收治的80例早期乳腺癌患者,结合患者意愿及实际情况,最终44例采取球拍形切口乳房成形术(整形保乳组)、36例采取非整形保乳术(传统保乳组)。比较两组手术时间、术中出血量、住院期间并发症情况(切口感染、切口裂开、血肿形成)、术后2个月乳房美观度评分、随访2年的远期并发症发生情况(皮肤退缩、脂肪坏死、乳房疼痛)与肿瘤复发情况。结果:两组患者手术时间与术中出血量比较,差异无统计学意义(P>0.05)。整形保乳组血肿形成发生率为2.27%,显著低于传统保乳组19.44%,差异有统计学意义(P<0.05)。整形保乳组对称性、凹陷程度、瘢痕、乳头横向偏移距离、乳头纵向偏移距离评分及总分显著高于传统保乳组,差异有统计学意义(P<0.05)。两组随访期间均未见肿瘤复发情况,整形保乳组皮肤皱缩发生率为9.09%,显著低于传统保乳组27.78%,差异有统计学意义(P<0.05)。结论:整形保乳术将保乳术与乳房整形技术相结合,可发挥治疗与美容双重疗效,有利于减少术后并发症,提高乳房美观度,更易被患者接受。
Objective To compare the clinical efficacy of racquet-shaped incision mammoplasty and non-plastic breast conserving surgery for early breast cancer. Methods A total of 80 patients with early breast cancer admitted to our hospital from May 2013 to May 2015 were selected. In combination with the patient’s wishes and actual conditions, 44 patients underwent racquet-shaped incision mammoplasty(plastic breast-conserving group) and 36 patients underwent non-plastic breast conserving surgery(traditional breast-conserving group). The operation time, intraoperative blood loss, postoperative complication rate(including wound infection, incision splitting, hematoma formation) and breast aesthetics scores, long-term complications(skin withdrawal, fat necrosis, breast pain) and tumor recurrence were followed up for 2 years were compared between the two groups. Results There was no significant difference in operative time and intraoperative bleeding between the two groups(P>0.05). The incidence of hematoma formation in plastic breast-conserving group was 2.27%, which was significantly lower than that in traditional breast-conserving group(19.44%),the difference was statistically significant(P<0.05).The symmetry, depression degree,scar,transverse deviation distance of nipple, longitudinal deviation distance score and total score of plastic breast-conserving group were significantly higher than those of traditional breast-conserving group(P<0.05).During the follow-up period, there was no recurrence of tumors in both groups. The incidence of skin shrinkage in the plastic breast-conserving group was 9.09%, which was significantly lower than that in the traditional breast-conserving group(27.78%,P<0.05). Conclusion The plastic breast conserving surgery combines breast conserving surgery with breast plastic surgery technology, which can exert dual therapeutic and cosmetic effects, help reduce postoperative complications, improve breast aesthetics, and be more easily accepted by patients.
作者
黄光钺
吴煌福
宋杰峰
HUANG Guang-yue;WU Huang-fu;SONG Jie-feng(Department of Oncology,Second Affiliated Hospital of Hainan Medical College,Haikou 570311,Hainan,China;Department of Radiology,Second Affiliated Hospital of Hainan Medical College,Haikou 570311,Hainan,China)
出处
《中国美容医学》
CAS
2019年第6期91-94,共4页
Chinese Journal of Aesthetic Medicine
基金
海南省科技厅(编号:ZDYF2017087)
关键词
乳腺癌
早期
球拍形切口乳房成形术
非整形保乳手术
乳房形态
美观度
breast cancer
early stage
racquet-shaped incision mammoplasty
non-plastic breast conserving surgery
breast morphology
aesthetics
