BCS联合TDAP组织瓣转移IPBR治疗原发性乳腺癌的效果与安全性分析

Analysis of effects and safety of breast conserving surgery combined with TDAP tissue flap metastasis mammoplasty in treating primary breast cancer

目的比较保留乳房手术(BCS)联合胸背动脉穿支(TDAP)组织瓣转移乳房成形术与BCS联合背阔肌皮瓣乳房再造术在原发性乳腺癌中的治疗效果与安全性。方法选择该院收治的原发性乳腺癌患者,其中拟行BCS联合TDAP组织瓣转移乳房成形术患者42例为研究组,拟行BCS联合背阔肌皮瓣乳房再造术患者42例为对照组,观察患者围术期情况、术后效果及并发症等。结果84例患者均成功完成手术,研究组手术时间显著长于对照组(P<0.05),但两组拔管时间、引流时间及住院时间差异均无统计学意义(P>0.05);术后3个月,研究组重建乳房优良率为92.86%,高于对照组的76.19%,差异有统计学意义(P<0.05);研究组的满意度显著高于对照组,差异有统计学意义(P<0.05)。两组并发症发生率比较,差异无统计学意义(P>0.05)。结论BCS联合TDAP组织瓣转移乳房成形术治疗原发性乳腺癌术后乳房美观性好,并发症少,安全可靠,是原发性乳腺癌治疗的较佳选择。

Objective To compare the treatment effects and safety between breast conserving surgery(BCS)combined with thoracodorsal artery perforator(TDAP)tissue flap metastasis mammoplasty and latissimus dorsi flap breast reconstruction in the treatment of primary breast cancer.Methods Forty-two cases of primary breast cancer undergoing BCS combined with TDAP tissue flap metastasis mammoplasty were selected as the study group.Other 42 cases of primary breast cancer undergoing BCS combined with latissimus dorsi flap breast reconstruction were selected as the control group.The perioperative condition,postoperative effects and complications were observed.Results All 84 cases successfully completed the operation.The operative time in the study group was significantly longer than that in the control group(P<0.05),but there were no statistically significant differences in the extubation time,drainage time and hospital stay between the two groups(P>0.05).At postoperative 3 months,the excellent and good rate of breast reconstruction in the study group was 92.86%,which was significantly higher than 76.19%in the control group,and the difference was statistically significant(P<0.05),and the satisfaction rate in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).The incidence rate of complications had no statistical difference between the two groups(P>0.05).Conclusion BCS combined with TDAP tissue flap metastasis mammoplasty is a good choice for the treatment of primary breast cancer with good cosmetic effect,few complications,reliability and safety.