术中冰冻切缘钟点法取材对乳腺癌保乳手术后美容效果的临床意义  

Significance and cosmetic results of breast conservation therapy by using the method of dial plate excision and frozen section

作　　者：高春晖[1] 张文清[1] 于洋[1] 贾岩峰[1] 刘杰[1] 谷晓伟[1] 张香梅[1] 王蒸[1] 

机构地区：[1]保定市第三医院肿瘤医院乳腺科,河北保定071000

出　　处：《中国医药导报》2009年第8期16-18,共3页China Medical Herald

摘　　要：目的:分析Ⅰ、Ⅱ期乳腺癌保乳手术美容效果的影响因素,探讨保乳术中切缘钟点法取材设计方案,优化保乳效果。方法:回顾我院2003年3月～2008年2月68例Ⅰ、Ⅱ期乳腺癌患者保乳手术中实施钟点法取材,对乳腺癌保乳手术后美容效果的影响进行分析。结果:68例患者随访期限为11～70个月,根据国家"十五"攻关课题"早期乳腺癌规范化保乳综合治疗的临床研究"采用的乳房美容评定标准进行评价:良好61例,占89.71%;一般7例,占10.29%;无一例不满意者。结论:Ⅰ、Ⅱ期乳腺癌保乳手术中,钟点法冰冻这一取材方式能更真实地获取阴性切缘,在保证切缘安全的前提下有效地降低腺体的缺损程度,从而达到最佳的美容效果。Objective： To analyze the factors affecting the cosmetic results of breast conservative therapy to breast cancer patients of stage I and Ⅱ, discuss and optimize the method of dial plate excision for breast conservative therapy. Methods： Retrospectively analyzed 68 breast cancer patients of stage I and Ⅱ during March 2003 to February 2008 used the method of dial plate excision, and then the effect of breast conservative therapy were evaluated. Results： After 11 to 70 months follow up, 61 cases were fine（89.71%）, 7 cases were accepted（10.29%）, no failure was found. Conclusion： The method of dial plate excision in breast conservative therapy to breast cancer patients in stage I and Ⅱ is successful and security, it can not only reduce the excision extension, but also maintain good cosmetic results.

关 键 词：保乳术 钟点法取材 美容效果 

分 类 号：R737.9[医药卫生—肿瘤]