[1]陈国平,范平明,陈峙霖.球拍形切口乳房成形术用于早期乳腺癌患者的临床疗效和美学效果探讨[J].中国美容医学,2022,(4):72-75.
　CHEN Guoping,FAN Pingming,CHEN Shilin.Clinical Efficacy and Aesthetic Effect of Racket-shaped Incision Mammoplasty on Patients with Early Breast Cancer[J].Medical Aesthetics and Beauty,2022,(4):72-75.
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球拍形切口乳房成形术用于早期乳腺癌患者的临床疗效和美学效果探讨()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年4期
页码:
72-75
栏目:
出版日期:
2022-04-10

文章信息/Info

Title:
Clinical Efficacy and Aesthetic Effect of Racket-shaped Incision Mammoplasty on Patients with Early Breast Cancer
文章编号:
1008-6455（2022）04-0072-04
作者:
陈国平1; 2; 范平明2; 陈峙霖2
(1.新疆医科大学附属肿瘤医院乳腺外科 新疆 乌鲁木齐 830000 ;2.海南医学院第一附属医院乳腺胸部肿瘤外科 海南 海口 570100 )
Author(s):
CHEN Guoping1; 2; FAN Pingming 2; CHEN Shilin2
(1.Department of Breast Surgery,the Affiliated Cancer Hospital of Xinjiang Medical University,Urumqi 830000,Xinjiang,China;2.Department of Breast and Thoracic Oncology,the First Affiliated Hospital of Hainan Medical University,Haikou 570100,Hainan,China)
关键词:
球拍形切口; 乳房成形术; 乳腺癌; 早期; 临床疗效; 美学效果
Keywords:
racket-shaped incision;  mammoplasty;  breast cancer;  early stage;  clinical curative effect;  aesthetic effect
分类号:
R655.8
文献标志码:
A
摘要:
目的：探讨球拍形切口乳房成形术（Racket-shaped incision mammoplasty，RSIM）用于早期乳腺癌患者的美学效果。方法：2018年1月-2020年9月收治早期乳腺癌且接受保乳治疗患者60例，根据患者自身意愿和医生评估，将患者分为观察组（行球拍形切口乳房成形术）35例和对照组（行传统保乳术）25例。比较两组患者手术指标、术后2个月美学效果、治疗前后肿瘤标志物、自尊与生命质量水平及近期并发症发生情况。结果：两组手术时间、术中出血量及住院时间比较差异均无统计学意义（P＞0.05）。治疗后，观察组乳头纵向偏移距离、乳头横向偏移距离、对称性、瘢痕、凹陷程度评分均高于对照组，差异有统计学意义（P＜0.05）；观察组治疗优良率为91.43%显著高于对照组的72.00%，差异有统计学意义（P＜0.05）。治疗前后两组癌胚抗原（Carcinoembryonic antigen，CEA）、糖类抗原15-3（Carbohydrate antigen 15-3，CA15-3）、糖类抗原125（Carbohydrate antigen 125，CA125）、肿瘤特异性生长因子（Tumor specific growth factor，TSGF）水平比较差异无统计学意义（P＞0.05）。观察组Rosenberg自尊量表和生命质量测量表（Functional assessment of cancer therapy-breast，FACT-B）评分高于对照组，差异有统计学意义（P＜0.05）。观察组血清肿、血肿发生率低于对照组，差异有统计学意义（P＜0.05）。结论：RSIM用于早期乳腺癌患者具有较好的治疗和美学效果，能提升患者自尊度和生命质量，降低术后并发症发生率。
Abstract:
Objective To discuss the cosmetic effect of racket-shaped incision mammoplasty for early breast cancer patients. Methods A total of 60 patients with early breast cancer undergoing breast-conserving therapy from January 2018 to September 2020 were enrolled. According to patients’ own wishes and doctors’ evaluation, the patients were divided into the observation group (racket-shaped incision mammoplasty, n=35) and the control group (traditional breast conserving surgery, n=25). The surgical indexes, cosmetic effect 2 months after operation, tumor markers before and after treatment, self-esteem, quality of life and recent complications were compared between the two groups. Results There was no significant difference in operation time, intraoperative bleeding and hospital stay between the two groups (P ＞0.05). After treatment, the scores of nipple longitudinal offset distance, nipple transverse offset distance, symmetry, scar and depression in the observation group were significantly higher than those in the control group (P＜0.05). The excellent and good rate of the observation group was 91.43%, significantly higher than that of the control group (72.00%, P＜0.05). There was no significant difference in the levels of CEA, CA15-3, CA125 and TSGF between the two groups before and after treatment (P＞0.05). Rosenberg self esteem scale and FACT-B scores in the observation group were higher than those in the control group (P ＜0.05). The incidence of serum swelling and hematoma in the observation group was lower than those in the control group (P＜0.05). Conclusion The treatment and cosmetic effects of RSIM are good on patients with early breast cancer. It can improve their elf-esteem and quality of life, and reduce the incidence of postoperative complications.
更新日期/Last Update: 2022-05-05