乳腺癌保乳手术中行射频消融治疗的应用分析

Application analysis of radiofrequency ablation in breast conserving surgery with breast carcinoma

目的探讨乳腺癌保乳手术中行射频消融治疗的应用。方法采用回顾性研究方法,选取2016年1月—2018年9月首都医科大学附属北京友谊医院收治的230例保乳手术中行射频消融治疗的乳腺癌患者,均为女性;中位年龄为56岁,范围为27~91岁,对术后疗效、外形满意度及并发症进行门诊随访。结果随访18个月显示,2例(0.87%)患者术后出现复发转移,217例(94.35%)患者术后对乳房外形满意,8例(3.48%)患者出现皮肤烧伤及原位硬结。结论保乳手术中使用射频消融技术,操作简便,并发症发生率低,加强局部肿瘤控制的同时,还可能改善保乳手术后乳房美容效果,值得在临床推广应用。

Objective To explore the application of radiofrequency ablation in breast conserving surgery with breast carcinoma.Methods With retrospective research methods,a total of 230 patients who were treated with radiofrequency ablation after breast conserving surgery in Beijing Friendship Hospital,Capital Medical University from January 2016 to September 2018 were selected,patients were all females,the median age was 56 yecers,ranged from 27 to 91 years,and the postoperative efficacy,patients′satisfaction with their appearance and complications were outpatient follow-up.Results Follow-up for 18 months showed that 2(0.87%)patients had postoperative recurrence and metastasis,217(94.35%)patients were satisfied with the postoperative breast appearance,and 8 patients(3.48%)had skin burns and in-situ sclerosing.Conclusions Radiofrequency ablation is used in breast conserving surgery,which is simple to operate and has a low incidence of complications.It can strengthen local tumor control and improve the cosmetic effect of breast after conserving surgery,worthy of clinical promotion.