摘要
目的探讨极限肿瘤整形技术在乳腺癌手术中的应用。方法回顾性分析河南大学第一附属医院103例行保乳手术的乳腺癌患者资料,患者均为女性,肿瘤体积与乳房体积比大于20%,51例行传统保留乳房手术(对照组),52例行保乳手术同时结合肿瘤整形技术(观察组),比较分析两组患者的手术切除组织量、乳房外形主观满意度、乳房外形客观评分及随访情况。结果观察组患者切除乳腺组织量为64.2-172.1 g,中位组织量98.7 g;对照组切除乳腺组织量为67.5-175.7 g,中位组织量102.3 g。术后12月进行随访,观察组患者主观满意率、乳房美容客观评分均优于传统保乳手术组(P<0.05),两组患者术后均无复发、转移和死亡病例,术后并发症比较,差异无统计学意义(P>0.05)。结论应用肿瘤整形技术行保乳手术治疗乳腺癌可获得更好的美容效果,临床疗效满意。
【Objective】To investigate the application of ultimate oncoplastic surgery in breast conserving surgery.【Methods】The clinical data of 103 breast cancer patients who underwent breast conserving surgery in the First Affiliated Hospital of Henan University were retrospectively analyzed.All the patients were female and tumor volume to breast volume ratio was greater than 20%.Fifty-two cases were treated with oncoplastic breast conversing surgery(observation group),and 51 cases were treated with traditional breast conserving surgery(control group).The volume of resected tissue,subjective satisfaction with breast shape,objective score of breast shape and follow-up were compared between the two groups.【Results】In the observation group,the amount of resected breast tissue was 64.2-172.1 g,with a median of 98.7 g;in the control group,the amount of resected breast tissue was 67.5-175.7 g,with a median of 102.3 g.After 12 months of follow-up,the subjective satisfaction rate and objective score of breast shape in the observation group were better than those in the traditional breast conserving surgery group(P<0.05).There was no recurrence,metastasis and death in the two groups,and there was no significant difference in postoperative complications between the two groups(P>0.05).【Conclusion】Breast conserving surgery with oncoplastic surgery can obtain better cosmetic effect and satisfactory clinical effect.
作者
马志强
陈梦圆
师丙帅
吴海滨
何建鑫
王若楠
郭玮
王文胜
MA Zhiqiang;CHEN Mengyuan;SHI bingshuai;WU Haibin;HE Jianxin;WANG Ruonan;GUO Wei;WANG Wensheng(Department of Breast and Thyroid Plastic Surgery,the First Affiliated Hospital of Henan University,Kaifeng,Henan 475000,China)
出处
《中国医学工程》
2021年第7期20-23,共4页
China Medical Engineering
基金
河南省二〇二一年科技发展计划项目(212102310164)。
关键词
乳腺癌
肿瘤整形
保乳手术
breast cancer
oncoplastic surgery
breast conserving surgery