Halsted-Meyer纵切口与Stewart横切口在乳腺癌根治术中的应用价值对比

Comparison on the Application Value of Halsted-Meyer Longitudinal Incision and Stewart Transverse Incision in Radical Mastectomy for Breast Cancer

目的比较Halsted-Meyer纵切口与Stewart横切口行乳腺癌根治术的效果。方法选择我院2015年7月至2017年9月收治的94例行乳腺癌根治术的患者,随机分为A组与B组各47例。A组行Stewart横切口乳腺癌根治术,B组行HalstedMeyer纵切口乳腺癌根治术,比较两组的手术情况及术后并发症发生率。结果两组的手术时间、淋巴结清扫数目无统计学差异(P>0.05);A组的I期愈合率显著高于B组(P<0.05);A组的术后并发症发生率为6.38%,显著低于B组的21.28%(P<0.05)。结论 Stewart横切口乳腺根治术有利于术后切口愈合,减少并发症的发生,可作为首选乳腺癌根治术切口。

Objective To compare the effects of Halsted-Meyer longitudinal incision and Stewart transverse incision in radical mastectomy for breast cancer. Methods 94 cases of patients with radical mastectomy for breast cancer admitted to our hospital from July2015 to September 2017 were selected and randomly divided into group A and group B, with 47 cases in each group. Group A underwent the radical mastectomy with Stewart transverse incision, while group B underwent the radical mastectomy with Halsted-Meyer longitudinal incision. The operation conditions and the incidences of complications after the operation of two groups were compared. Results No significant difference was found in the operation time or number of lymph node dissection between the two groups（P〈0.05）. The healing rate in the stage I of the group A was significantly higher than that of the group B（P〈0.05）. The incidence of complications after the operation of the group A was 6.38%, significantly lower than 21.28% of the group B（P〈0.05）. Conclusions Radical mastectomy with Stewart transverse incision is beneficial to postoperative incision healing and reducing the incidence of complications, which can used as the first choice of incision for radical mastectomy.