磁共振成像技术结合线性测量法在乳腺癌术后一期假体置入乳房再造中的应用

Application of MRI Combined with Linear Measurement in Primary Breast Reconstruction Prosthesis Implantation after Breast Cancer Surgery

目的:探讨磁共振成像技术结合线性测量法在乳腺癌术后一期假体置入乳房再造中的临床应用价值。方法:共纳入34例乳腺癌患者,采用磁共振成像技术结合线性测量法测量乳房,选取合适规格大小的假体。术后随访6~24个月,分析患者双侧乳房对称性指标、美容效果及术后并发症情况。结果:患者患侧与健侧乳房相关对称性参数(SN-N、C-N、N-M、MBW、N-IMF)比较差异不具有统计学意义(P>0.05)。主观美容效果评价采用Harris评价方法,美观率为84.85%;客观美容效果评价采用泽井法标准,美观率为81.82%。患者术后生存率100.00%,并发症发生率为8.82%。结论:磁共振成像技术结合线性测量法可较准确地测量乳房腺体体积、所需假体基底直径、纵径及凸度,提供较为完整的乳房再造术前信息,可作为乳腺癌术后一期假体置入乳房再造中选择合适假体的一种参考方法。

Objective To explore the application of MRI combine with linear measurement in primary breast reconstruction prosthesis implantation after breast cancer surgery.Methods A total of 34 patients with breast cancer were included.The breast was measured by magnetic resonance imaging(MRI)combined with linear measurement,and the prosthesis with appropriate size was selected.The patients all were followed up for 6-24 months,the date of breast symmetry,cosmetic result and complications were recorded and analysed.Results There were no significant difference in symmetry parameters(SN-N,C-N,N-M,MBW,N-IMF)between the affected side and the contralateral side(P>0.05).In the subjective evaluation,using Harris questionnaire,the aesthetic rate was 84.85%.In the objective evaluation,using Zejin standard,the aesthetic rate was 81.82%.The postoperative survival rate was 100.00%,and the incidence of postoperative complications was 8.82%.Conclusion The application of MRI combine with linear measurement can effectively measure the volume of breast,height,width and convexity,which has clinical application,and can be considered as a reference method in the immediate implant breast reconstruction surgery.