早期乳腺癌患者术后应用整形技术的临床观察

Clinical Observation of Early Postoperative Orthopedic Technology in Breast Cancer Patients

目的:探讨并总结整形技术对早期乳腺癌患者的应用及临床意义。方法:2010年1月~2013年12月我院采用整形美容技术治疗早期乳腺癌患者84例,分析并总结84例患者的病例资料,对术后美容效果进行观察及评估患者术后美容效果满意度。结果:84例早期乳腺癌患者中,背阔肌肌皮瓣(LDF)乳房再造22例,腹直肌肌皮瓣(TRAM)乳房再造30例,腹壁下动脉穿支皮瓣(DIEP)乳房再造14例,TRAM与DIEP联合皮瓣乳房再造术10例,硅凝胶假体乳房再造8例,术后恢复比较情况无统计学意义;对不同整形技术的美容效果满意度存在差异,有统计学意义。结论:改良根治术后的早期乳腺癌患者应用整形技术是安全有效的,患者对整体美容效果满意度较高,对广大女性有较好的应用前景。

Objective:To explore and summarize shaping technology and clinical significance of early breast cancer patients. Methods:Randomly selecting 84 cases with hospital treatment for early breast cancer with plastic surgery techniques,analyzing and summarizing the satisfaction degree of 84 cases with cosmetic surgery. Results:Among 84 cases of early breast cancer,22 cases had the latissimus dorsi flap (LDF) of breast reconstruction,30 cases had the rectus abdominis muscle flap (TRAM) breast reconstruction,14 cases had inferior epigastric artery perforator flap (DIEP) breast reconstruction,10 cases had TRAM flap breast reconstruction with DISP joint surgery,and 8 cases had silicone gel implants for breast reconstruction. Postoperative recovery was not statistically significant,with statistical significance. Conclusion:The application of modified radical mastectomy in patients with early breast cancer after shaping technology is safe and effective in patients with higher overall satisfaction with cosmetic results. The majority of women have a good prospect.