[1]支 珍,夏 群,李 巍,等.两种皮瓣修复法对乳腺癌改良根治术后整形效果及血清炎症因子水平的影响[J].中国美容医学,2023,(5):67-70.
　ZHI Zhen,XIA Qun,LI Wei,et al.Effects of Two Skin Flap Repair Methods on Plastic Effect and Serum Infl ammatory Factor Levels after Modifi ed Radical Mastectomy for Breast Cancer[J].Medical Aesthetics and Beauty,2023,(5):67-70.
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两种皮瓣修复法对乳腺癌改良根治术后整形效果及血清炎症因子水平的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年5期
页码:
67-70
栏目:
出版日期:
2023-05-10

文章信息/Info

Title:
Effects of Two Skin Flap Repair Methods on Plastic Effect and Serum Infl ammatory Factor Levels after Modifi ed Radical Mastectomy for Breast Cancer
文章编号:
1008-6455(2023)05-0067-04
作者:
支 珍; 夏 群; 李 巍; 马 静; 陈 洁
(蚌埠市第一人民医院肿瘤科 安徽 蚌埠 233000 )
Author(s):
ZHI Zhen; XIA Qun; LI Wei; MA Jing; CHEN Jie
(Department of Oncology,Bengbu First People’s Hospital,Bengbu 233000,Anhui,China)
关键词:
横行腹直肌皮瓣; 背阔肌肌皮瓣; 乳腺癌改良根治术; 即时乳房再造; 整形效果; 免疫功能
Keywords:
transverse rectus abdominis myocutaneous flap;  latissimus dorsi myocutaneous flap;  modifi ed radical mastectomy for breast cancer;  immediate breast reconstruction;  plastic eff ect;  immune function
分类号:
R622
文献标志码:
A
摘要:
目的：探讨两种不同皮瓣修复法对乳腺癌改良根治术后整形效果及血清炎症因子水平的影响。方法：选择2011年2 月-2020年11月笔者医院行乳腺癌改良根治术并即刻乳房再造修复的86例患者为研究对象，按1∶1比例随机划分成两组。 其中将接受横行腹直肌皮瓣（Transverse rectus abdominis myocutaneous flap ，TRAM）再造修复的43例患者设为TRAM 组，将接受背阔肌肌皮瓣（Latissimus dorsi myocutaneous flap ，LDM）再造修复的43例患者设为LDM组。术后3个月， 评价乳房整形效果，记录两组手术相关指标，检测两组术前、术后3 d白细胞（White blood cell，WBC）、C-反应蛋白 （C-reactive protein，CRP）等炎症指标，观察两组术后3个月内并发症发生率。结果：术后3个月，TRAM组整形效果优良 率（95.35%）高于LDM组（90.70%），但组间比较差异无统计学意义（P＞0.05）；两组术中失血量、手术时间、住院时间比 较差异均无统计学意义（P＞0.05）；术后3 d，两组血清CRP水平及WBC计数和术前相比均明显增高（P＜0.05），但LDM组上 述指标均低于TRAM组（P＜0.05）；术后LDM组并发症发生率（6.98%）低于TRAM组（11.63%），但组间比较差异无统计学意 义（P＞0.05）。结论：乳腺癌改良根治术后行TRAM再造修复和LDM再造修复的整形效果均较佳，但后者与前者相比术后早期 血清炎症因子水平更低。
Abstract:
Objective To investigate the effects of different skin flap repair methods on the cosmetic effect and serum infl ammatory factor levels after modifi ed radical mastectomy for breast cancer. Methods From February 2019 to November 2020,86 patients who came to author’s hospital hospital for modifi ed radical mastectomy and immediate breast reconstruction were selected as the research objects,and they were randomly divided into two groups at a ratio of 1 ∶1.Among them,43 cases with transverse rectus abdominis myocutaneous flap (TRAM) were set as group A,and 43 cases with latissimus dorsi myocutaneous flap (LDM) were set as group B.Three months after breast reconstruction,the cosmetic effect was evaluated,surgery-related indicators of the two groups were recorded,the white blood cell (WBC),C-reactive protein (CRP) and other infl ammatory indexes were detected before and after surgery,and the complication rate of the two groups within three months after surgery was observed. Results Three months after surgery,the excellent and good rate of plastic eff ect in group A was 95.35%,which was slightly higher than 90.70% in group B,but there was no signifi cant diff erence between the two groups(P ＞0.05); there was no signifi cant diff erence in blood loss,operation time,and hospital stay between the two groups (P ＞0.05); the serum CRP levels and WBC counts of the two groups were significantly higher than those before the operation 3 days after operation (P＜0.05),but the above indexes of group B were significantly lower than those of group A (P＜0.05);the incidence of postoperative complications in group B was 6.98%,slightly lower than 11.63% in group A,but there was no significant difference between the two groups(P ＞0.05). Conclusion The cosmetic eff ect of TRAM reconstruction and LDM reconstruction after modified radical mastectomy is better,but the latter is lower than that of the former.

相似文献/References:

[1]王耀军,薛佳杰,任忠亮,等. 皮瓣转移修复乳腺癌根治术后放射性溃疡的整形美容效果探讨[J].中国美容医学,2019,(10):11.
　WANG Yao-jun,XUE Jia-jie,REN Zhong-liang,et al. Plastic and Cosmetic Effects of Skin Flap Transfer in the Repair of Radioactive Ulcerafter Radical Mastectomy for Breast Cancer[J].Medical Aesthetics and Beauty,2019,(5):11.

更新日期/Last Update: 2023-06-13