整形保乳术治疗早期乳腺癌疗效观察和对术后复发转移影响.PDF

中国美容医学2019年3月第28卷第3期 Chinese Journal of Aesthetic Medicine. Mar. 2019.Vol.28.No.3 37 整形保乳术治疗早期乳腺癌的疗效观察及对术后复发转移的影响 李先锋 （湖北省郧西县人民医院普通外科 湖北 郧西 442600） [摘要]目的：探讨常规保乳术与整形保乳术治疗中早期乳腺癌的临床效果及对患者术后复发、转移的影响。方法：收集 2013年1月-2015年1月医院收治的75例早期乳腺癌患者临床资料，按手术方式分为常规组（n=35，行常规保乳术）与整形组 n=40，行整形保乳术），比较两组手术效果，统计并发症发生率，记录切除肿瘤组织重量、手术切缘阳性情况，评价乳房 （ 美观度，术后3年随访调查患者生活质量及术后复发、转移率及生存率。结果：两组切缘阳性率、术中出血量比较，差异 无统计学意义（P ＞0.05）。整形组手术时间长于常规组，但术后引流量少于常规组，住院时间短于常规组，标本重量高 于常规组，差异有统计学意义（P ＜0.05）。整形组血肿发生率明显低于常规组，且整形组乳房整形整体优良率及生活质 量评分均显著高于常规组，差异有统计学意义（P ＜0.05）。两组肿瘤转移率、复发率及患者生存率比较，差异无统计学意 义（P ＞0.05）。结论：整形保乳术治疗早期乳腺癌临床价值优于常规保乳术，可缩短患者住院时间，减少术后并发症发生 率，提高乳房美观效果，促进患者术后生活质量提升，且术后复发、转移风险低。 [关键词]乳腺癌；整形保乳术；常规保乳术；美容效果；复发；转移 [中图分类号]R622 [文献标志码]A [文章编号]1008-6455（2019）03-0037-04 Curative Effect of Plastic Breast-conserving Surgery in the Treatment of Early Breast Cancer and the Influence on Postoperative Recurrence and Metastasis LI Xian-feng (Department of General Surgery,Yunxi Peoples Hospital of Hubei,Yunxi 442600,Hubei,China) Abstract: Objective To investigate the clinical effect of conventional breast-conserving surgery and plastic breast-conserving surgery in the treatment of early breast cancer and the influence on postoperative recurrence and metastasis. Methods The clinical data of 75 patients with early breast cancer who were admitted to the hospital from January 2013 to January 2015 were collected. The patients were divided into the conventional group (n =35, treated by conventional breast-conserving surgery) and the plastic group (n =40, treated by oncoplastic breast-conserving surgery) according to the operation mode. Surgical effects were compared between the two groups, and the incidence of surgical complications was statistically analyzed. The weight of excised tumor tissues an