国际肿瘤学杂志

国际肿瘤学杂志 ›› 2016, Vol. 43 ›› Issue (11): 822-825.doi: 10.3760/cma.j.issn.1673-422X.2016.11.005

• 论著 • 上一篇    下一篇

整形保乳技术在早期乳腺癌保乳手术中的应用

李成贻，赵桂斌，刘丽英，杨徐雄   

  1. 355000福安，福建医科大学附属闽东医院肿瘤外科
  • 收稿日期:2016-04-11 出版日期:2016-11-08 发布日期:2016-11-02
  • 通讯作者: 赵桂斌，Email: 602362384@qq.com E-mail:602362384@qq.com

Appliation of oncoplastic breast-conserving reconstruction for patients with earlystage breast cancer

Li Chengyi, Zhao Guibin, Liu Liying, Yang Xuxiong   

  1. Department of Oncology Surgery, Affiliated Mindong Hospital of Fujian Medical University, Fu′an 355000, China
  • Received:2016-04-11 Online:2016-11-08 Published:2016-11-02
  • Contact: Zhao Guibin E-mail:602362384@qq.com

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1502

被引次数

8

摘要： 目的对比分析早期乳腺癌患者应用整形保乳技术和传统保乳技术的术后美容效果及并发症。方法收集2012年1月至2015年10月在福建医科大学附属闽东医院实施保乳手术的乳腺癌患者67例，其中应用乳腺腺体瓣转移等整复技术行保乳手术的30例作为试验组，实施传统保乳手术的37例作为对照组。对比分析两组患者术后并发症及美容效果。结果试验组和对照组术后美容效果评估为优良的患者分别为22例（73.33%）、16例（43.24%），评估为一般的分别为6例（20.00%）、14例（37.84%），评估为差的分别为2例（6.67%）、7例（18.92%），差异具有统计学意义（Z=-2.513，P=0.012）。试验组13.33%（4/30）的患者出现术后并发症，其中皮瓣坏死并发切口感染及切口裂开1例、皮下积液3例；对照组5.41%（2/37）的患者出现术后并发症，其中切口感染及切口裂开各1例；两组并发症发生率差异无统计学意义（χ2=0.490，P=0.484）。中位随访时间为28个月，对照组发现局部复发1例、远处转移2例，试验组患者未发现术后复发及转移，差异无统计学意义（P=0.140）。结论对早期乳腺癌患者采用肿瘤整形技术进行保乳手术治疗，肿瘤治疗安全性高，美容效果好，值得推荐。

关键词: 乳腺肿瘤, 乳房成形术, 修复外科手术

Abstract: ObjectiveTo analyze the cosmetic effects and postoperative complications of patients with early breast cancer who underwent oncoplastic breastconserving reconstruction and traditional breastconserving surgery. MethodsFrom January 2012 to October 2015, we collected a total of 67 patients with earlystage breast cancer who underwent breastconserving surgery in Affiliated Mindong Hospital of Fujian Medical University. Thirty patients who underwent oncoplastic breastconserving reconstruction were in observation group, and 37 patients who underwent traditional breastconserving surgery were in the control group. The postoperative complications, cosmetic effects and survival situations in the two groups were compared. ResultsIn the aesthetic effects evaluation, 22 patients (73.33%) and 16 patients (43.24%) had good or excellent cosmetic effects, 6 patients (20.00%) and 14 patients (37.84%) had general cosmetic effects, 2 patients (6.67%) and 7 patients (18.92%) had poor cosmetic effects in the observation group and control group, with a significant difference (Z=-2.513, P=0.012). Four patients (13.33%) in the observation group had postoperative complications, including that 1 patients had incisional dehiscence followed by incisional wound infection and skin necrosis, and 3 patients had subcutaneous exudates. However, 2 patients (5.41%) in the control group had postoperative complications, including 1 patients with incisional dehiscence, and 1 patients with incisional wound infection. There were no significant difference in the occurrence rates of postoperative complications in the two groups (χ2=0.490, P=0.484). The mean followup period was 28 months. We found 1 patients of local recurrence, and 2 patients of metastases in the control group. However, all patients were free of recurrence and metastases in the observation group, with no significant difference (P=0.140). ConclusionOncoplastic surgical technique in the breastconserving surgery for patients with earlystage breast cancer is a safe and effective procedure, with highly satisfactory cosmetic effects for the majority of patients, which is worth to recommend.

Key words: Breast neoplasms, Mammaplasty, Reconstructive surgical procedures