整形保乳术在早期乳腺癌治疗中的安全性及有效性分析

Safety and Effectiveness of Oncoplastic Breast-Conserving Surgery in the Treatment of Early Breast Cancer

目的:分析整形保乳术在早期乳腺癌治疗中的安全性及有效性。方法:选取2011年11月-2016年11月收治的120例早期乳腺癌患者为研究对象,按不同的手术治疗方式分为两组,分为观察组、对照组。观察组给予整形保乳术进行治疗,对照组给予传统保乳术进行治疗。对比两组乳房美容效果及其安全性。结果:手术后,观察组乳房外观优良率(76.67%)和对照组乳房外观优良率(45.00%)比较明显升高,而切口愈合不良发生率(1.67%)、血肿发生率(3.33%)、血清肿发生率(11.67%)较对照组的切口愈合不良发生率(11.67%)、血肿发生率(13.33%)、血清肿发生率(46.67%)明显降低,差异具有统计学意义(P<0.05)。结论:在早期乳腺癌治疗中,整形保乳术后切口愈合不良等并发症的发生率明显降低,具有较高的安全性,且美容效果显著。

Objective To analyze the safety and effectiveness of oncoplastic breast-conserving surgery in the treatment of early breast cancer. Methods One hundred and twenty patients with early breast cancer admitted in our hospital from November 2011 to November 2016, were divided into two groups according to different surgical treatment. They were named observation group and control group. The observation group was treated with plastic breast conserving surgery, while the control group was treated with traditional breast conserving surgery.The cosmetic effect and safety were compared between the two groups. Results The excellent rate of breast appearance in the observation group（76.67%） was significantly increased compared with that in the control group（45.00%） after treatment; while the incidence of poor healing（1.67%）, hematoma（3.33%）, seroma（11.67%） in the observation group were significantly lower than those in the control group（11.67%, 13.33% and 46.67%;P〈 0.05）. Conclusion Oncoplastic breast-conserving surgery can significantly reduce the incidence of poor healing in the treatment of early breast cancer, it has high clinical safety and significant cosmetic effect.