不同手术方式下乳腺癌皮下积液发生率对比

Comparison of the incidence of subcutaneous effusion of breast cancer under different surgical methods

目的探究不同手术方法对乳腺癌术后皮下积液发生率的影响。方法将2016年2月至2017年11月在新乡医学院第一附属医院普外科行乳腺癌手术的188例患者按照手术方式分为改良组(乳腺癌改良根治术,n=119)、保乳组(乳腺癌保乳手术,n=48)和重建组(乳腺癌术后即刻重建,n=21),比较三组皮下积液、皮瓣坏死、皮瓣感染发生情况。结果改良组和保乳组皮下积液发生率及并发症总发生率有明显差异(P<0.05);改良组和重建组皮下积液发生率及并发症总发生率差异显著(P<0.05);保乳组和重建组皮下积液、皮瓣坏死、皮瓣感染发生率及并发症总发生率比较,无显著差异(P>0.05)。结论乳腺癌保乳手术及乳腺癌术后即刻重建可以降低皮下积液的发生率,在不影响患者生存率的情况下值得推广。

Objective To explore the effects of different surgical methods on seroma formation in patients with breast cancer.Methods A total o f 188 patients with breast cancer surgery in general department of the First Affiliated Hoapital of Xinxiang Medical University from February from 2016 to November 2017 were divided into modified group(modified radical mastectomy,n=119),breast-conserving group(breast conserving surgery,n=48)and reconstruction group(breast reconstruction immediately after surgery,n=21)according to surgery methods.The incidence of subcutaneous fluid,flap necrosis,skin flap infection among the three groups were compared.Results The incidence rate of subcutaneous effusion and the total incidence rate of complications between the modified group and the breast-conserving group were significantly different(P<0.05).The incidences rate of subcutaneous effusion and the total incidence rate of complications between the modified group and the reconstructive group were significantly different(P<0.05).There were no significant differences in the incidence of subcutaneous fluid,skin flap necrosis,skin flap infection and total incidence of complications between the breastconserving group and reconstructive group(P>0.05).Conclusion Breast conserving surgery and breast reconstruction immediately after surgery both can reduce the incidence of seroma formation,which are worthy of promotion without affecting the rate of survival.