保乳手术和改良根治术对乳腺癌患者美学效果的影响

Influence of breast-conserving surgery and modified radical surgery on aesthetic effect of breast cancer patients

目的目的探讨保乳手术和改良根治术对乳腺癌患者美学效果的影响。方法方法依据手术方式的不同将104例乳腺癌患者分为对照组(n=50)和观察组(n=54),对照组患者接受改良根治术治疗,观察组患者接受保乳手术治疗,两组患者均予以优质手术室干预。比较两组患者的手术相关指标、美学效果、并发症发生情况及预后情况。结果结果观察组患者术中出血量明显少于对照组,切口长度、手术时间和住院时间均明显短于对照组,差异均有统计学意义(P﹤0.01)。观察组患者的美学效果优良率为94.44%,高于对照组患者的80.00%,差异有统计学意义(P﹤0.05)。观察组患者的并发症总发生率为9.26%,低于对照组患者的24.00%,差异有统计学意义(P﹤0.05)。术后3个月,观察组患者乳房症状、上肢症状评分均明显低于对照组,体象、性功能、性愉悦、对未来的看法评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。结论结论与改良根治术相比,保乳手术可降低乳腺癌患者的术后并发症发生率,有利于改善患者的乳房美学效果,提高患者预后。

Objective To investigate the effects of breast-conserving surgery and modified radical surgery on aesthet-ic effect of breast cancer patients.Method A total of 104 patients with breast cancer were divided into control group(n=50)and observation group(n=54)according to the different surgical methods.The control group received modified radi-cal surgery,and the observation group received breast-conserving surgery.Both groups received high-quality operating room intervention.The surgical related indicators,aesthetic effects,incidence of complications,and prognosis were com-pared between two groups.Result The intraoperative bleeding volume of the observation group was significantly less than that of the control group,and the incision length,surgical time,and hospital stay were significantly shorter than those of the control group,and the differences were statistically significant(P<0.01).The aesthetic effect excellent rate of the observation group was 94.44%,which was higher than 80.00%of the control group,and the difference was statistical-ly significant(P<0.05).The total incidence of complications in the observation group was 9.26%,which was lower than 24.00%in the control group,and the difference was statistically significant(P<0.05).Three months after surgery,the breast symptom and upper limb symptom scores of the observation group were lower than those of the control group,and the body image,sexual function,sexual pleasure,and future perception scores were significantly higher than those of the control group,and the differences were statistically significant(P<0.01).Conclusion Compared with modified radical surgery,breast-conserving surgery can reduce the incidence of postoperative complications in patients with breast cancer,improve the aesthetic effect of the breast,and improve the prognosis.