[1]陈峙霖,李京泰,陈国平,等.保留乳头乳晕的乳腺切除术治疗早期乳腺癌的临床与美学效果观察[J].中国美容医学,2023,(6):27-30.[doi:10.15909/j.cnki.cn61-1347/r.005740]
　CHEN Shilin,LI Jingtai,CHEN Guoping,et al.Clinical and Aesthetic Effects of Nipple-areola Complex-sparing Mastectomy in the Treatment of Early Breast Cancer[J].Medical Aesthetics and Beauty,2023,(6):27-30.[doi:10.15909/j.cnki.cn61-1347/r.005740]
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保留乳头乳晕的乳腺切除术治疗早期乳腺癌的临床与美学效果观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年6期
页码:
27-30
栏目:
出版日期:
2023-06-10

文章信息/Info

Title:
Clinical and Aesthetic Effects of Nipple-areola Complex-sparing Mastectomy in the Treatment of Early Breast Cancer
文章编号:
1008-6455（2023）06-0027-04
作者:
陈峙霖; 李京泰; 陈国平; 范平明
(海南医学院第一附属医院乳腺外科 海南 海口 570100 )
Author(s):
CHEN Shilin; LI Jingtai; CHEN Guoping; FAN Pingming
(Department of Breast Surgery,the First Affi liated Hospital of Hainan Medical College,Haikou 570100,Hainan,China)
关键词:
乳头; 乳晕; 乳腺切除术; 改良根治术; 乳腺癌; 美学效果; 生活质量
Keywords:
nipple;  areola;  mastectomy;  modifi ed radical mastectomy;  breast cancer;  aesthetic eff ect;  quality of life
分类号:
R655.8
DOI:
10.15909/j.cnki.cn61-1347/r.005740
文献标志码:
A
摘要:
目的：观察保留乳头乳晕的乳腺切除术(Nipple-areola complex-sparing mastectomy,NSM)治疗早期乳腺癌的临床与 美学效果。方法：回顾性分析2020年6月-2021年6月于笔者医院乳腺外科就诊的84例乳腺癌患者临床资料，根据不同手术方 式分为常规组38例和NSM组46例，常规组行改良根治术，NSM组行NSM术，随访3个月，比较两组的围术期指标（引流时间、住 院时间、术中引流量）、患者心理状态[焦虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating depression scale，SDS）]评分、乳房美学效果评分、乳腺癌患者生活质量测定量表（Functional assessment of cancer therapy-breast，FACT-B）评分以及并发症发生率，记录随访期间两组复发及转移情况。结果：两组患者围术期指标比较， 差异均无统计学意义（P＞0.05）；NSM组患者的SAS、SDS评分均低于常规组（P＜0.05）；NSM组乳房整体美学效果、形状、 大小、对称性、质地与弹性、乳头乳晕位置、瘢痕各项评分均高于常规组（P＜0.05）；NSM组FACT-B生理、情感、社会、功 能、附加状况各维度评分均高于常规组（P＜0.05）；两组患者并发症发生率、复发率以及转移情况比较，差异均无统计学 意义（P＞0.05）。结论：早期乳腺癌患者行NSM术，能改善患者的心理状态，提高乳房美观程度与生活质量，安全性好。
Abstract:
Objective To study the clinical and aesthetic eff ects of nipple-areola complex-sparing mastectomy (NSM) in the treatment of early breast cancer. Methods A retrospective analysis was performed on the clinical data of 84 patients with breast cancer treated in Breast Surgery of the author’s Hospital between June 2020 and June 2021. According to diff erent surgical methods,they were divided into routine group (38 cases,modified radical mastectomy) and NSM group (46 cases,NSM). After 3 months of follow-up,perioperative indexes (drainage time,hospitalization time,intraoperative drainage volume),scores of psychological state [self-rating anxiety scale (SAS),self-rating depression scale (SDS)],breast aesthetics effect and the functional assessment of cancer therapy-breast (FACT-B),and the incidence of complications in the two groups were compared. The recurrence and metastasis during follow-up in both groups were recorded. Results There was no signifi cant diff erence in perioperative indexes between the two groups (P ＞0.05). The scores of SAS and SDS in NSM group were lower than those in routine group (P＜0.05). The scores of overall aesthetics eff ect,breast shape,size,symmetry,texture and elasticity,nipple-areola position and scars in NSM group were all higher than those in routine group (P＜0.05). The scores of FACT-B (physiological,e motional,social,functional and additional condition dimensions) in NSM group were higher than those in routine group (P ＜0.05). There was no signifi cant diff erence in incidence of complications,recurrence rate or metastasis between the two groups (P ＞0.05). Conclusion NSM can improve psychological state,breast aesthetics and quality of life in patients with early breast cancer,with good safety.

相似文献/References:

[1] 潘宝军,孙 政,李国楼,等. 部分游离胸大肌肌束填充乳头技术在保留乳头乳晕的乳房切除术中的应用[J].中国美容医学,2020,(9):71.
　 PAN Bao-jun,SUN Zheng,LI Guo-lou,et al. The Application of Partial Free Pectoralis Major Muscle Bundle to Fill the Nipple in theNipple Sparing Mastectomy[J].Medical Aesthetics and Beauty,2020,(6):71.

更新日期/Last Update: 2023-07-04