侧胸壁切口与乳房下皱襞切口在乳腺癌Ⅰ期假体植入术中的应用效果

Application effects of lateral chest wall incision and submammary fold incision in stageⅠprosthesis implantation for breast cancer

目的比较侧胸壁切口与乳房下皱襞切口在乳腺癌Ⅰ期假体植入术中的应用效果。方法回顾性分析2018年3月至2019年3月收治的98例行乳腺癌Ⅰ期假体植入术患者的临床资料,根据手术切口不同将其分为侧胸壁切口组和乳房下皱襞切口组,各49例。比较两组的早期并发症(血肿、持续血清样引流、感染)、晚期并发症(假体移位、假体破裂、包膜挛缩、乳头乳晕区感觉障碍)发生情况及其他不良情况(乳头退缩、慢性疼痛、切口瘢痕明显、胸大肌痉挛、皮肤皱褶)发生率。结果乳房下皱襞切口组的血肿及持续血清样引流发生率高于侧胸壁切口组,差异具有统计学意义(P<0.05);两组均未出现感染。乳房下皱襞切口组的乳头乳晕区感觉障碍发生率高于侧胸壁切口组,差异具有统计学意义(P<0.05)。两组的乳头退缩、慢性疼痛、切口瘢痕明显、胸大肌痉挛、皮肤皱褶发生率无显著差异(P>0.05)。结论侧胸壁切口在乳腺癌Ⅰ期假体植入术中的应用效果优于乳房下皱襞切口。

Objective To compare the application effects of lateral chest wall incision and submammary fold incision in stageⅠprosthesis implantation for breast cancer.Methods The clinical data of 98 patients with breast cancer undergoing stageⅠprosthesis implantation admitted from March 2018 to March 2019 were retrospectively analyzed.According to the different surgical incisions,the patients were divided into lateral chest wall incision group and submammary fold incision group,with 49 cases in each group.The incidence of early complications(hematoma,continuous serous drainage,infection),late complications(prosthesis displacement,prosthesis rupture,capsular contracture,nipple areola area sensory disturbance)and other adverse conditions(nipple retraction,chronic pain,obvious incision scar,pectoralis major muscle spasm,skin wrinkles)were compared between the two groups.Results The incidences of hematoma and continuous serous drainage in the submammary fold incision group were higher than those in the lateral chest wall incision group,and the differences were statistically significant(P<0.05);there were no infection in the two groups.The incidence of nipple areola area sensory disturbance in the submammary fold incision group was higher than that in the lateral chest wall incision group,and the difference was statistically significant(P<0.05).There were no significant differences in the incidences of nipple retraction,chronic pain,obvious incision scar,pectoralis major muscle spasm,skin wrinkles between the two groups(P>0.05).Conclusion The application effect of lateral chest wall incision is better than that of submammary fold incision in stageⅠprosthesis implantation for breast cancer.