早期乳腺癌保乳手术后不同乳房修复术的效果比较

doi:10.3969/j.issn.1671-7171.2023.06.023

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摘要【目的】比较早期乳腺癌保乳手术后即时无瘢痕背阔肌乳房修复术与传统背阔肌乳房修复术的临床效果。【方法】回顾性分析2017年5月至2022年5月陕西省延安市志丹县人民医院收治的102例早期乳腺癌行保乳手术患者的临床资料,根据乳房修复方法的不同将其分为观察组(无瘢痕背阔肌乳房修复术修复)和对照组(传统背阔肌乳房修复术修复),每组51例。比较两组乳腺切除体积、术中切缘状况、手术时间、术中出血量、住院时间,并比较术后并发症发生情况、术后美容效果、术后患者满意度及随访结果。【结果】观察组手术时间、住院时间均短于对照组(P<0.05),两组乳腺切除体积、术中出血量及术中切缘情况比较,差异无统计学意义(P>0.05)。观察组术后并发症发生率为27.45%,明显低于对照组的58.82%(P<0.05)。观察组术后乳房美学等级评价优良率为92.16%,明显高于对照组的76.47%(P<0.05)。观察组术后患者满意度为94.12%,明显高于对照组的74.51%(P<0.05)。随访期间,两组局部复发率、远处转移率和累积生存率比较,差异无统计学意义(P>0.05)。【结论】相较于传统背阔肌乳房修复术,早期乳腺癌保乳手术后缺损患者接受无瘢痕背阔肌乳房修复术疗效更为确切,能显著缩短手术时间和住院时间,降低术后并发症发生风险,提高乳房外形美容效果和患者满意度,且对短期预后并无明显影响。

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	常汉峰
	王晓岐

关键词 ：乳腺肿瘤/外科学, 乳房切除术,区段, 乳房成形术

Abstract：【Objective】 To compares the clinical effect of immediate scarless latissimus dorsi breasts repair and traditional latissimus dorsi breast repair after breast-conserving surgery for early breast cancer. 【Methods】 A total of 102 patients with early breast cancer who underwent breast-conserving surgery in our hospital from May 2017 to May 2022 were selected for the study. Patients were randomly divided into 51 cases in the control group and 51 cases in the observation group. Traditional latissimus dorsi breast repair and non-scar latissimus dorsi breast repair (non-scar pedicled latissimus dorsi muscle flap repair) were done in the control group and in the observation group,respectively with 18 months of post-operation follow-up. The volume of mastectomy,intraoperative margin,operative time,intraoperative blood loss,length of hospital stay,postoperative complications,postoperative cosmetic effect,postoperative patient satisfaction and follow-up results were compared between the two groups. 【Results】 The operation time and hospital stay in the observation group were significantly shorter than those in the control group (P<0.05),and there were no statistical differences in the volume of mastectomy,intraoperative blood loss and intraoperative resection margin between the observation group and the control group (P>0.05). The incidence of postoperative complications in the observation group was 27.45%,significantly lower than 58.82% in the control group (P<0.05). The excellent and good rate of the observation group was 92.16%,which was significantly higher than 76.47% of the control group (P<0.05). The postoperative patient satisfaction in the observation group was 94.12%,which was significantly higher than 74.51% in the control group (P<0.05). All patients were followed up for 18 months that showed the local recurrence rate,distant metastasis rate and cumulative survival rate were no statistical difference between the two groups (P>0.05). 【Conclusion】 Compared to the traditional latissimus dorsi breast repair,the patients with early breast cancer after breast-conserving surgery have a more effective treatment of scar free latissimus breast repair,which can significantly shorten the operation time and hospital stay,reduce the risk of postoperative complications,improve the cosmetic appearance and patient satisfaction of breast shape,but have no significant effect on short-term prognosis.

Key words： Breast Neoplasms/SU Mastectomy,Segmental Mammaplasty

收稿日期: 2022-05-19

中图分类号:

R737.9

通讯作者: *E-mail:wanyan5982021@163.com

引用本文:

常汉峰, 王晓岐. 早期乳腺癌保乳手术后不同乳房修复术的效果比较[J]. 医学临床研究, 2023, 40(6): 880-883.
CHANG Han-feng, WANG Xiao-qi. Comparison of the Effect of Different Breast Repair Procedures after Breast-conserving Surgery for Early Breast Cancer. JOURNAL OF CLINICAL RESEARCH, 2023, 40(6): 880-883.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2023.06.023 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2023/V40/I6/880

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