月牙形切口在乳腺癌改良根治术中的应用

The application of crescent-shaped incision for modified radical mastectomy

目的探讨月牙形切口在乳腺癌改良根治术中的应用效果。方法分析近10多年129例行乳腺癌改良根治术的乳腺癌患者的临床资料,129例均行乳腺癌改良根治术。随机分为两组:A组,51例,采用月牙形切口;B组,78例,采用Steward横切口。观察患者的切口愈合情况、腋窝淋巴结清扫的数目、肩关节功能恢复满意度。结结果A组月切口Ⅰ期愈合率90.2%(46/51),B组75.6%(59/78)(P<0.05);患侧肩关节功能恢复满意度A组96.1%(49/51),B组84.6%(66/78)(P<0.05)。结论月牙形切口张力低,愈合好,暴露满意,对肩关节的功能影响小,是乳腺癌改良根治术的一种理想切口。

Objective To investigate the effect of crescent-shaped incision for modified radical mastectomy. Methods We retrospectively analyzed the clinical data of 129 cases of breast cancer. Modified radical mastectomy was done in all cases, of which, crescent-shaped incision was used in 51 eaes （ group A ） and steward transverse incision was nsed in 78 cases （ group B ） . Postoperatively, incision healing, the number of axillary lymph nodes which were dissected, and the satisfaction rate of shoulder function were observed. Results The success rate of wound healing in group A was 90.2 % （ 46/51 ） , and in group B was 75.6% （59/78）（P〈0.05）. Satisfactory rate of shoulder function in group A was 96. 1% （49/51）, and in group B was 84. 6% （ 66/78 ） （ P 〈 0. 05 ） . Conclusions The crescent-shaped incision has low skin tension, good healing outcome, satisfactory exposure of axilla and minimal impairment of shoulder function, and thus is an ideal incision for modified radical mastectomy.