[1]肖 筠. 保乳手术治疗乳腺癌的美容效果及发生院内感染的危险性因素分析[J].中国美容医学,2019,(02):39-41.
 XIAO Jun. Cosmetic Effect of Breast Conserving Surgery for Breast Cancer and Risk Factors for Nosocomial Infection[J].Medical Aesthetics and Beauty,2019,(02):39-41.
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 保乳手术治疗乳腺癌的美容效果及发生院内感染的危险性因素分析
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年02期
页码:
39-41
栏目:
出版日期:
2019-02-15

文章信息/Info

Title:
 Cosmetic Effect of Breast Conserving Surgery for Breast Cancer and Risk Factors for Nosocomial Infection
文章编号:
1008-6455(2019)02-0039-03
作者:
肖 筠
Author(s):
XIAO Jun
关键词:
[关键词]保乳手术乳腺癌美容效果院内感染危险性因素血清白蛋白白细胞计数
Keywords:
Key words: breast conserving surgery breast cancer cosmetic effect nosocomial infection risk factors serum albuminleukocyte count
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的:探讨保乳手术治疗乳腺癌的美容效果及发生院内感染的危险性因素。方法:选取2014年1月-2018年5月在笔
者医院接受治疗的乳腺癌患者187例,均行保乳手术治疗,收集分析患者术后切口感染情况。结果:术后美容效果优良率
为96.26%;术后切口感染感染率为8.02%;有糖尿病、血清白蛋白<35g/L、白细胞计数<4×109个/L和引流天数≥15d患
者术后切口感染的比例分别为31.58%、38.46%、26.47%和42.86%,明显高于无糖尿病、血清白蛋白≥35g/L、白细胞计数
≥4×109个/L和引流天数<15d患者,差异有统计学意义(P <0.05);血清白蛋白<35g/L、白细胞计数<4×109个/L和引流
天数≥15d是保乳术术后切口感染的危险因素(OR=1.758、1.842和2.011,P <0.05)。结论:保乳手术治疗乳腺癌的美容效
果好,术后切口感染发生率低,主要与患者血清白蛋白、白细胞计数和引流天数有关。

Abstract:
Abstract: Objective To investigate the cosmetic effect of breast conserving surgery on breast cancer and the risk factors of
nosocomial infection. Methods 187 cases of breast cancer in our hospital from January 2014 to May 2018 were selected,
breast conserving surgery was performed, and wound infection after operation was collected and analyzed. Results The
excellent and good rate of cosmetic effect after operation was 96.26%, and the infection rate of incision infection after
operation was 8.02%. The incidence of incision infection in patients with diabetes mellitus, serum albumin<35g/L, white
blood cell count<4×109/L and drainage days≥15d were 31.58%, 38.46%, 26.47% and 42.86%, which were significantly higher
than those in patients without diabetes mellitus, serum albumin≥35g/L, white blood cell count ≥4×109/L and drainage days
<15d, the difference were statistically significant(P <0.05). Serum albumin<35g/L, white blood cell count<4×109/L and
drainage days≥15d were risk factors for incision infection after breast conserving surgery (OR=1.758, 1.842 and 2.011, P <0.05).
Conclusion Breast conserving surgery for breast cancer has a good cosmetic effect, and low incidence of incision infection
after operation, which is mainly related to serum albumin, white blood cell count and drainage days.

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更新日期/Last Update: 2019-03-06