摘要
目的:探讨传统改良根治术与改良根治术后即刻背阔肌皮瓣乳房重建治疗乳腺癌的效果对比。方法:选取笔者所在医院收治的92例乳腺癌患者作为研究对象,根据随机数字表法将其分为两组,每组46例。对照组采取传统改良乳腺癌根治术,研究组则在改良根治术后即刻背阔肌皮瓣乳房重建。比较两组患者恶性事件发生率、生活质量及生活满意度。结果:对照组出现了1例肿瘤复发,5例转移,恶性事件发生率为13.04%,研究组发生2例转移,恶性事件发生率为4.35%,两组恶性事件发生率比较,差异无统计学意义(P>0.05)。研究组术后躯体疼痛、生理职能、情感职能及社会功能等生活质量评分均明显高于对照组,差异有统计学意义(P<0.05)。研究组术后1、3及6个月满意度评分均明显高于对照组,差异有统计学意义(P<0.05)。结论:传统改良根治术与改良根治术后即刻背阔肌皮瓣乳房重建治疗乳腺癌的效果相当,但乳腺癌患者实施改良根治术后即刻背阔肌皮瓣乳房重建,能够更好地修复乳房形态,并提升患者生活质量及满意度。
Objective:To compare the efficacy of traditional modified radical mastectomy and breast reconstruction with latissimus dorsi flap immediately after modified radical mastectomy in the treatment of breast cancer.Method:A total of 92 patients with breast cancer treated in our hospital were selected as the research objects,and were divided into two groups according to the random number table method,with 46 cases in each group.The control group underwent traditional modified radical mastectomy,while the study group underwent breast reconstruction with latissimus dorsi flap immediately after modified radical mastectomy.The incidence of malignant events,quality of life and life satisfaction of the two groups were compared.Result:In the control group,1 case of tumor recurrence and 5 cases of metastasis occurred,and the incidence of malignant events was 13.04%.In the study group,2 cases of metastasis occurred,and the incidence of malignant events was 4.35%.There was no significant difference in the incidence of malignant events between the two groups(P>0.05).The quality of life scores of postoperative physical pain,physical function,emotional function and social function in the study group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction scores of the study group at 1,3 and 6 months after operation were significantly higher than those of the study group,the differences were statistically significant(P<0.05).Conclusion:The effect of traditional modified radical mastectomy and breast reconstruction with latissimus dorsi flap immediately after modified radical mastectomy is similar,but breast reconstruction with latissimus dorsi flap immediately after modified radical mastectomy can better repair the breast shape and improve the quality of life and satisfaction of patients.
作者
陈利东
CHEN Lidong(Maternal and Child Health Hospital of Qichun County,Qichun 435300,China)
出处
《中外医学研究》
2019年第35期145-147,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
改良根治术
乳房重建
乳腺癌
疗效
Modified radical mastectomy
Breast reconstruction
Breast cancer
Curative effect
