两种乳腺癌根治术保留乳房后的局部复发率和美容效果比较

Comparison of local recurrence rate and cosmetic results after two types of radical operations for mammary cancer

目的:探讨保留乳房(保乳)的乳腺癌根治术和保留乳头、皮肤的乳腺癌根治术加Ⅰ期假体置入整形术两种术式对乳腺癌的局部复发率和美容效果的影响。方法:将患者分为保乳的乳腺癌根治术组(A组)和保留乳头、皮肤的乳腺癌根治术加Ⅰ期假体置入整形术组(B组)。A组45例,B组35例。术后从乳腺局部复发率和乳房美容效果观察。结果:局部复发率A组2.2%,B组无复发,同侧乳房再次手术A组占31.1%,B组无一例再次手术;美容效果A组优良率高于B组(P<0.05)。但B组治疗费用低,局部复发率低。结论:在两种术式都适合的情况下,建议采用保留乳头、皮肤的乳腺癌根治术加Ⅰ期假体置入整形术,可以减少同侧乳房再次手术的几率。

Objective：To discuss the local recurrence rate and cosmetics results in breast cancer after breast conserving radica1 mastectomy and radical mastectomy conserving ammilla,skin combining simultaneous breast augmentationwith prosthesis.Methods：Eighty patients were divided into two groups.There were 45 patients in breast conserving radica1 mastectomy（group A）and 35 in radical mastectomy conserving ammilla,skin combining simultaneous breast augmentationwith prosthesis（group B）.The loacal recurrence rate and cosmetics results were evaluated after surgery.Results：The loacal recurrence rate in groups A and B was 2.2% and 0,respectively,the ipsilateral breast reoperation rate in groups A and B was 31.1% and 0,respectively.The cosmetic results of group A were better than that of group B（P〈0.05）.Conclusions：Group B patients are also suitable for group A patients for operation.Radical mastectomy conserving ammilla,skin combining simultaneous breast augmentationwith prosthesis is the recommendatory for those who are suitable for two radical mastectomies,for it can reduce the ipsilateral breast reoperation rate.