«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2024年7期

页码:

86-89

栏目:

出版日期:

2024-07-10

文章信息/Info

Title:

Aesthetic Effect of Plastic Breast-conserving Surgery in the Treatment of Early Breast Cancer and Its Infl uence on the Prognosis of Patients

文章编号:

1008-6455（2024）07-0086-04

作者:

李晓达; 焦岗军; 李天牧; 周 迈

(北京市朝阳区民航总医院普外科 北京 100123 )

Author(s):

LI Xiaoda;  JIAO Gangjun;  LI Tianmu;  ZHOU Mai

( Department of General Surgery, Beijing Chaoyang Civil Aviation General Hospital, Beijing 100123, China )

关键词:

整形保乳术; 早期乳腺癌; 美学效果; 预后; 复发

Keywords:

plastic and breast-conserving surgery;  early breast cancer;  aesthetic eff ect;  prognosi;  relapse

分类号:

R622

文献标志码:

A

摘要:

目的：探讨整形保乳术治疗早期乳腺癌的美学效果及对患者预后的影响。方法：选取2017年1月-2020年1月笔者医院 收治的104例早期乳腺癌患者，按随机数字表法分为观察组（52例）和对照组（52例）。观察组予以整形保乳术治疗，对照 组予以常规保乳术治疗，统计比较两组围术期相关指标、术后并发症、乳房美学效果、肿瘤复发及生存情况。结果：与 对照组相比，观察组术中出血量及术后引流量较少，手术时间较长，肿瘤与切缘最小距离较长，切除组织占乳房体积 比较大，引流管拔出时间及住院时间较短，术后并发症发生率较低，乳房美学效果优良率较高，差异均有统计学意义 （P＜0.05）。两组患者术后2年内均无死亡病例，观察组有1例（1.92%）复发，对照组有2例（3.85%）复发，两组复发 率比较差异无统计学意义（P＞0.05）。结论：整形保乳术有利于改善早期乳腺癌患者术后乳房的美学效果，利于患者术 后恢复，且临床较为安全。

Abstract:

Objective To explore the aesthetic eff ect of plastic conserving surgery in the treatment of early breast cancer and its impact on patient prognosis. Methods A total of 104 patients with early breast cancer admitted to the author’s hospital from January 2017 to January 2020 were selected and divided into the observation group (52 cases) and the control group (52 cases) according to the random number table method. The observation group was treated with plastic breast conserving surgery, while the control group was treated with conventional breast conserving surgery. The perioperative related indicators, postoperative complications, breast aesthetic effect, tumor recurrence and survival were statistically compared between the two groups. Results Compared with the control group, the intraoperative blood loss and postoperative drainage volume of the observation group were less, the operation time was longer, the minimum distance between tumor and surgical margin was longer, the proportion of resected tissue in breast volume was larger, the time of drainage tube removal and hospital stay were shorter, the incidence of postoperative complications was lower, and the excellent and good rate of breast aesthetic eff ect was higher, and the diff erences were statistically signifi cant (P ＜0.05). There was no death in the two groups within 2 years after operation. There was 1 case (1.92%) of recurrence in the observation group and 2 cases (3.85%) in the control group, and there was no signifi cant diff erence in the recurrence rate between the two groups (P ＞0.05). Conclusion Plastic breast conserving surgery is benefi cial to improve the aesthetic eff ect of breast after surgery in patients with early breast cancer, which is conducive to postoperative recovery and is clinically safe.

常用功能

更新日期/Last Update: 2024-07-10