摘要
目的:观察环乳晕入路保留乳头乳晕改良根治术(MRM)治疗早期乳腺癌(EBC)患者的效果。方法:选取108例EBC患者作为研究对象,采用随机数字表法分成研究组和对照组各54例。研究组接受环乳晕入路保留乳头乳晕MRM治疗,对照组行乳腺癌标准切除术治疗,比较两组手术时间、术中失血量、术后6个月复发率、转移率,术后1个月并发症发生率和美观满意度。结果:研究组手术时间长于对照组,术中失血量少于对照组,差异均有统计学意义(P<0.05);术后6个月,两组复发率和转移率比较,差异均无统计学意义(P>0.05);术后1个月,研究组并发症发生率为9.26%(5/54),低于对照组的24.07%(13/54),差异有统计学意义(P<0.05);研究组美观满意度为100.00%(54/54),高于对照组的74.07%(40/54),差异有统计学意义(P<0.05)。结论:乳晕入路保留乳头乳晕MRM治疗EBC患者可降低并发症发生率,减少术中出血量,提高美观满意度,效果优于乳腺癌标准切除术治疗,但会延长手术时间。
Objective:To observe effects of nipple and areola preserving modified radical mastectomy(MRM)through the circular areola approach in treatment of early breast cancer(EBC)patients.Methods:108 EBC patients were selected as the research objects,and were divided into study group and control group by using the random number table,54 cases in each.The study group received nipple and areola preserving MRM treatment through the circular areola approach,while the control group received standard resection of breast cancer.The operation time,the intraoperative blood loss,the recurrence rate and the metastasis rate 6 months after the surgery,the complication rate at 1 month after the surgery,and the aesthetic satisfaction were compared between the two groups.Results:The operation time of the study group was longer than that of the control group;the intraoperative blood loss was less than that of the control group;and the differences were statistically significant(P<0.05).6 months after the surgery,there were no significant differences in the recurrence rate and the metastasis rate between the two groups(P>0.05).1 month after the surgery,the complication rate in the study group was 9.26%(5/54),which was lower than 24.07%(13/54)in the control group,and the difference was statistically significant(P<0.05).The aesthetic satisfaction of the study group was 100.00%(54/54),which was higher than 74.07%(40/54)of the control group,and the difference was statistically significant(P<0.05).Conclusions:Nipple and areola preserving MRM in the treatment of the EBC patients through the areola approach can reduce the incidence of complications,reduce the intraoperative blood loss,and improve the aesthetic satisfaction.Moreover,it is superior to standard breast cancer resection,but it will extend the operation time.
作者
李勇杰
李斌
魏荣华
徐芒
郄永强
LI Yongjie;LI Bin;WEI Ronghua;XU Mang;Qie Yongqiang(Anyang District Hospital of Puyang City,Second Department of General Surgery,Anyang 455000 Henan,China;Anyang District Hospital of Puyang City,Department of Nuclear Medicine,Anyang 455000 Henan,China)
出处
《中国民康医学》
2021年第22期9-11,共3页
Medical Journal of Chinese People’s Health
关键词
环乳晕入路
保留乳头乳晕乳腺癌改良根治术
早期乳腺癌
并发症
复发率
转移率
美观满意度
Nipple and areola preserving modified radical mastectomy
The circular areola approach
Standard resection of breast cancer
Early breast cancer
Complication
Recurrence rate
Metastasis rate
Aesthetic satisfaction