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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2019年03期

页码:

37-40

栏目:

出版日期:

2019-03-11

文章信息/Info

Title:

Curative Effect of Plastic Breast-conserving Surgery in the Treatment of Early Breast
Cancer and the Influence on Postoperative Recurrence and Metastasis

文章编号:

1008-6455（2019）03-0037-04

作者:

李先锋

Author(s):

LI Xian-feng

关键词:

[关键词]乳腺癌; 整形保乳术; 常规保乳术; 美容效果; 复发; 转移

Keywords:

Key words: breast cancer;  plastic breast-conserving surgery;  conventional breast-conserving surgery;  cosmetic effect; recurrence;  metastasis

分类号:

R622

文献标志码:

A

摘要:

[摘要]目的：探讨常规保乳术与整形保乳术治疗中早期乳腺癌的临床效果及对患者术后复发、转移的影响。方法：收集
2013年1月-2015年1月医院收治的75例早期乳腺癌患者临床资料，按手术方式分为常规组（n =35，行常规保乳术）与整形组
（n=40，行整形保乳术），比较两组手术效果，统计并发症发生率，记录切除肿瘤组织重量、手术切缘阳性情况，评价乳房
美观度，术后3年随访调查患者生活质量及术后复发、转移率及生存率。结果：两组切缘阳性率、术中出血量比较，差异
无统计学意义（P ＞0.05）。整形组手术时间长于常规组，但术后引流量少于常规组，住院时间短于常规组，标本重量高
于常规组，差异有统计学意义（P ＜0.05）。整形组血肿发生率明显低于常规组，且整形组乳房整形整体优良率及生活质
量评分均显著高于常规组，差异有统计学意义（P ＜0.05）。两组肿瘤转移率、复发率及患者生存率比较，差异无统计学意
义（P ＞0.05）。结论：整形保乳术治疗早期乳腺癌临床价值优于常规保乳术，可缩短患者住院时间，减少术后并发症发生
率，提高乳房美观效果，促进患者术后生活质量提升，且术后复发、转移风险低。

Abstract:

Abstract: Objective To investigate the clinical effect of conventional breast-conserving surgery and plastic breast-conserving
surgery in the treatment of early breast cancer and the influence on postoperative recurrence and metastasis. Methods The
clinical data of 75 patients with early breast cancer who were admitted to the hospital from January 2013 to January 2015 were
collected. The patients were divided into the conventional group (n =35, treated by conventional breast-conserving surgery) and
the plastic group (n =40, treated by oncoplastic breast-conserving surgery) according to the operation mode. Surgical effects
were compared between the two groups, and the incidence of surgical complications was statistically analyzed. The weight of
excised tumor tissues and the positive situation of surgical margins were recorded. The appearance of breasts was evaluated. All
patients were followed up for 3 years after surgery, and the quality of life of patients was evaluated. The recurrence, metastasis
and survival rates after surgery were statistically analyzed. Results There was no significant difference in the positive rate
of incision margin and intraoperative bleeding between the two groups(P ＞0.05). The operation time of the plastic group
was longer than that of the conventional group, but the drainage volume was less than that of the conventional group, the
hospitalization time was shorter than that of the conventional group, and the weight of specimens was higher than that of the
conventional group, the differences were statistically significant(P ＜0.05). The incidence of hematoma in the plastic group was
significantly lower than that in the conventional group, and the overall excellent rate and quality of life score of the plastic group
were significantly higher than those in the conventional group(P ＜0.05). There was no significant difference in metastasis rate,
recurrence rate and survival rate between the two groups(P ＞0.05). Conclusion The clinical value of plastic breast-conserving
surgery is better than conventional breast-conserving surgery in the treatment of early breast cancer. The former can shorten
the length of hospital stay, decrease the incidence of postoperative complications, improve the aesthetic effect of breasts, and
improve the quality of life of patients after surgery. Besides, the risk of recurrence and metastasis is low after surgery.

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更新日期/Last Update: 2019-03-29