保留乳头乳晕复合体皮下腺体全切术在乳腺癌手术中的应用效果

Application of the breast subcutaneous gland resection with preserving nipple-areola complex in breast cancer surgery

目的探讨保留乳头乳晕复合体皮下腺体全切术在乳腺癌手术中的应用效果。方法选取2019年6月至2021年6月在浙江金华广福肿瘤医院乳腺外科进行手术治疗的60名乳腺癌患者为研究对象。根据患者意愿将其分为试验组和对照组,每组30例患者。试验组患者行保留乳头乳晕复合体皮下腺体全切术,对照组患者行乳房全切术。通过手术时间、术后引流管拔除时间和出院时间、术后皮瓣坏死情况和生活质量等指标,比较两组患者的治疗效果和满意度。结果试验组患者手术时间[(108.71±11.30)min]长于对照组患者[(89.61±12.51)min],其差异具有统计学意义(P<0.05);试验组患者术后生活质量各项指标均显著优于对照组患者,其差异均具有统计学意义(均P<0.05)。两组患者术后引流管拔除时间和住院时间比较,其差异均无统计学意义(均P>0.05)。试验组术后1例患者乳头坏死,27例患者胸部皮肤触觉麻木;对照组术后2例患者皮瓣坏死,30例患者胸部皮肤触觉麻木,其差异均无统计学意义(均P>0.05)。随访5~29个月,两组患者均无局部或远处复发转移。结论保留乳头乳晕复合体皮下腺体全切术和乳房全切术具有相同的手术安全性和疗效,且前者术后有更高的生活质量。

Objective To investigate the clinical application of the breast subcutaneous gland resection with preserving nipple-areola complex in breast cancer surgery.Methods A total of 60 patients with breast cancer from June 2019 to June 2021 were divided into the observation group(n=30)and the control group(n=30).The patients in the observation group underwent total subcutaneous gland resection with nipple sparing areola complex.The others in the control group underwent single breast cutting.Therapeutic effect and satisfaction of the two groups were presented by comparing operation time,time of drainage tube removed,postoperative leather petal necrosis,hospital stay,and quality of life.Results The operation time in the observation group was(108.71±11.30)min,which was significantly longer than that in the control group(89.61±12.51)min(P<0.05).The quality of life in the observation group was significantly higher than that in the control group(all P<0.05).There was no difference in the time of drainage tube removed and the hospital stay between two groups(all P>0.05).Patients undergoing the millet necrosis was 1 in the observation group and 2 in the control group(P>0.05).Patients undergoing chest skin stress disorders were 27 in the observation group and 30 in the control group(P>0.05).After follow-up for 5~9 months,there was no local or distant recurrence and metastasis in both groups.Conclusions The breast subcutaneous gland resection with preserving nippleareola complex had the same surgical efficacy and safety with higher quality of life after surgery.