新型冠状病毒肺炎疫情期间实施乳腺癌手术管理流程策略调整探讨

Discussion on the adjustment of breast cancer surgery management process strategies during the outbreak of novel coronavirus pneumonia

目的探讨新型冠状病毒肺炎(novel coronavirus pneumonia,NCP)疫情期间实施乳腺癌手术管理流程策略调整,总结经验。方法依据《新型冠状病毒感染的肺炎诊疗方案(试行第五版)》《绵阳市中心医院新型冠状病毒感染疫情防控期间手术工作制度(第二版)》等,绵阳市中心医院乳腺外科制定了疫情期间乳腺癌手术管理流程调整策略和方案。结果于2020年1月25日至2020年2月11日期间笔者所在医院施行乳腺癌手术8例,均为女性,平均年龄45岁。其中5例行乳腺癌改良根治术,2例行保乳手术+前哨淋巴结活检术,1例行保乳手术+腋窝淋巴结清扫术。8例患者均经空心针穿刺活检诊断为乳腺浸润性导管癌,患者术后均顺利恢复,未出现并发症,按计划出院,无患者及医务人员出现新型冠状病毒感染。结论NCP疫情时期,通过调整手术管理流程策略,可以进行乳腺癌手术,并可有效防控疫情。

Objective To investigate the strategy adjustment of breast cancer surgery management process during the outbreak of novel coronavirus pneumonia(NCP),and to summarize the experience.Methods Based on"Pneumonitis Diagnosis and Treatment Plan for Novel Coronavirus Infection(Fifth Trial Version)"and"Surgery Work System During the Prevention and Control of Novel Coronavirus Infection in Mianyang Central Hospital(Second Edition)",the breast surgery department adjusted strategies and plans for breast cancer surgery during the epidemic.Results From January 25,2020 to February 11,2020,8 cases of breast cancer surgery were performed in our hospital.They were all females,with an average age of 45 years.Five patients underwent modified radical mastectomy,2 patients underwent breast-conserving surgery plus sentinel lymph nodes biopsy,and 1 case underwent breast-conserving surgery plus axillary lymph node dissection.All 8 patients were diagnosed as invasive ductal carcinoma of breast by hollow needle biopsy.All patients recovered smoothly after surgery,no complications occurred,and they were discharged as planned.No patients or medical staff showed NCP exposure and infection.Conclusion During the NCP epidemic,breast cancer surgery can be performed and the epidemic can be effectively prevented and controlled by adjusting the work flow and strategy.