[1]郭 磊,李婷婷,袁 媛,等.容量移位和容量替代技术在乳腺癌保乳术中的应用及对预后的影响[J].中国美容医学,2023,(3):42-45.
　GUO Lei,LI Tingting,YUAN Yuan,et al.Application of Volume displacement and Volume Replacement Technique in Breast Conserving Surgery for Breast Cancer and Its Effect on Prognosis[J].Medical Aesthetics and Beauty,2023,(3):42-45.
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容量移位和容量替代技术在乳腺癌保乳术中的应用及对预后的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年3期
页码:
42-45
栏目:
出版日期:
2023-03-10

文章信息/Info

Title:
Application of Volume displacement and Volume Replacement Technique in Breast Conserving Surgery for Breast Cancer and Its Effect on Prognosis
文章编号:
1008-6455(2023)03-0042-04
作者:
郭 磊1 ; 李婷婷2 ; 袁 媛1 ; 李 江1 ; 张景华1 ; 赵亚婷1
(唐山市妇幼保健院 1. 乳腺保健科;2.病案科 河北 唐山 063000 )
Author(s):
GUO Lei1 ; LI Tingting2 ; YUAN Yuan1 ; LI Jiang1 ; ZHANG Jinghua1 ; ZHAO Yating1
(1.Department of Breast Health; 2.Department of Medical Record,Tangshan Maternal and Child Health Hospital,Tangshan 063000,Hebei,China)
关键词:
容量移位; 容量替代; 乳腺癌; 保乳术; 美学效果; 预后
Keywords:
volume displacement;  volume replacement;  breast cancer;  breast conserving surgery;  aesthetic effect;  the prognosis
分类号:
R622
文献标志码:
A
摘要:
目的：探讨容量移位和容量替代技术在乳腺癌保乳手术中应用效果及对预后的影响。方法：选择152例行容量移位或 容量替代技术整形保乳术治疗的乳腺癌患者，对其手术指标、术后6个月时乳房美学效果评价结果及预后等资料进行回顾性 整理分析。结果：患者术中采取容量移位者97例（63.82%）、容量替代者55例（36.18%）；行容量替代的患者病灶最大径大 于行容量移位患者，差异有统计学意义（P＜0.05）；行容量替代的患者术中出血量及切除标本体积大于行容量移位患者， 差异有统计学意义（P＜0.05），切口长度及手术时间比较差异无统计学意义（P＞0.05）；行容量替代的患者乳房对称性、 皮肤弹性、质地与弹性、凹陷程度、手术瘢痕、乳头横向移位距离、乳头纵向移位距离、患者满意度等项目评分均低于容量 移位患者，差异有统计学意义（P＜0.05）；术后18～36个月，患者生存率均为100.00%，无死亡患者，转移率与复发率行容量 移位的患者分别为6.19%、2.06%，行容量替代的患者分别为7.27%、1.82%，差异无统计学意义（P＞0.05）。结论：容量移位 整形保乳术治疗乳腺癌较容量替代术具有更好的美学效果，且对患者预后无不良影响，不会增加肿瘤复发及转移风险性。
Abstract:
Objective To explore the aesthetic effect and prognosis of volume displacement and volume replacement technique in breast conserving surgery for breast cancer. Methods 152 patients with breast cancer on volume displacement and volume replacement technique oncoplastic breast conserving surgery,the clinical data of 152 patients with breast cancer who oncoplastic breast conserving surgery were collected,the general data of the patients,surgical indicators,breast aesthetic effect evaluation results and prognosis at 6 months after surgery were retrospectively analyzed. Results The 97 cases patients(63.82%) underwent volume displacement and 55 cases patients(36.18%) underwent volume replacement technique oncoplastic breast conserving surgery.The maximum diameter of the lesion in patients with volume replacement was larger than that the patients with volume displacement,the difference was statistically significant (P ＜0.05).The intraoperative blood loss and volume of excised specimen in patients with volume replacement was larger than that the patients with volume displacement,the difference was statistically significant (P＜0.05),there was no significant difference in incision length and operation time (P＞0.05). The breast symmetry,skin elasticity,texture and elasticity,degree of sag,surgical scar,transverse displacement distance of the nipple,longitudinal displacement distance of the nipple,patient satisfaction in patients with volume replacement was lower than that the patients with volume displacement,the difference was statistically significant (P ＜0.05).The survival rate of all patients at 18-36 months after surgery was 100.00%,and no patients died,the metastatic rate and recurrence rate of patients with volume displacement were 6.19% and 2.06%,patients with volume displacement were 7.27% and 1.82%,there was no significant difference in incision length and operation time (P ＞0.05). Conclusion The aesthetic effect of volume displacement technique better than that of volume replacement technique oncoplastic breast conserving surgery with breast cancer patients,there is no adverse effect on the prognosis of patients,and it does not increase the risk of tumor recurrence and metastasis.
更新日期/Last Update: 2023-04-04