摘要
目的 研究肿瘤整形技术治疗早期乳腺癌患者临床效果。方法 回顾性分析2014年6月-2016年6月我院行常规保乳术 (n=33)和整形保乳术(n=41)患者临床资料,比较两组治疗效果、术后乳房外形美观度和患者生活质量。结果 两 组术后治疗方案、复发率、转移率、生存率、并发症发生率无明显差异;治疗后,两组患者美容等级评定结果 优良率分别为82.93%和60.61(P<0.05),美容组整形美容效果明显更优;两组患者FACT-B各维度评分均明显升高 (P<0.05),且整形组家庭/社会维度、情感维度评分明显高于常规组(P<0.05)。结论 肿瘤整形技术治疗早期乳腺癌 患者效果良好,术后生存率和并发症发生情况与常规手术治疗基本持平,且可明显改善患者术后乳房外形,提高患 者生活质量。
Objective To study the clinical effects of tumor plastic technique in the treatment of patients with early breast cancer. Methods The clinical data of patients with routine breast-conserving surgery (n=33) and patients with plastic breastconserving surgery (n=41) from June 2014 to June 2016 in our hospital were retrospectively analyzed. The treatment effects, postoperative breast aesthetics and patients' quality of life were compared between the two groups. Results There were no significant differences in the postoperative treatment plans, recurrence rate, metastasis rate, survival rate and incidence rate of complications between the two groups. After treatment, the excellent and good rates of cosmetic grade evaluation were 82.93% and 60.61% respectively in the two groups (P<0.05). The plastic and cosmetic effects in cosmetic group were significantly better. The dimensions scores of FACT-B in the two groups were significantly increased (P<0.05), and the scores of family/social dimension and emotional dimension in plastic group were significantly higher than those in routine group (P<0.05). Conclusion Tumor plastic technique has good effects in the treatment of patients with early breast cancer, and its postoperative survival rate and occurrence of complications are basically the same as those of routine surgery, and it can significantly improve the postoperative breast shape and improve the quality of life of patients.
【关键词】早期乳腺癌;保乳术;肿瘤整形技术
【中图分类号】R737.9
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2019.01.014
前言
早期乳腺癌手术治疗可有效清除肿瘤组织,减少 转移发生,提高患者生存率和生活质量,手术方法大 致有保留乳房手术和全乳房切除术两种,其中保留乳 房手术主要用于Ⅰ、Ⅱ期患者常规治疗[1]。乳腺癌患 者肿瘤组织切除后可在乳房内部形成较大空腔,导致 乳房表明凹陷,乳头偏斜现象,严重影响术后美观, 降低治疗效果[2]。肿瘤整形技术可在行保乳术同时或 术后利用自体组织或假体重塑乳房外形以尽量保持术 后乳房美观[3]。本文回顾性分析我院保留乳房术后早 期乳腺癌患者临床资料,探讨肿瘤整形技术对手术效果和术后美容效果的影响。
罕少疾病杂志
第26卷, 第 1 期
2019年01月
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