早期乳腺癌保留乳头乳晕复合体改良根治术即刻乳房再造并发症的护理干预  

The complication nursing intervention of immediate breast reconstruction with keeping the nipple areola complex in the modified radical operation of early breast cancer

作　　者：尚翠永[1] 王圣应[1] 张荣新[1] 

机构地区：[1]蚌埠医学院第一附属医院肿瘤外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2013年第7期899-901,共3页Journal of Bengbu Medical College

基　　金：安徽省卫生厅科研课题资助项目(2008B010)

摘　　要：目的:探讨早期乳腺癌保留乳头乳晕复合体(NAC)改良根治术即刻乳房再造术后并发症的护理干预效果。方法:将62例早期乳腺癌行保留NAC改良根治术患者分为对照组30例和观察组32例;2组均行根治术即刻乳房再造,对照组仅实施常规护理,观察组术后予以护理干预。比较2组患者术后并发症的发生率。结果:观察组术后皮瓣坏死1例,无皮下积液、患肢水肿和切口感染发生;对照组术后皮瓣坏死1例,皮下积液3例,患肢水肿2例;观察组并发症发生率(3.1%)低于对照组(20.0%)(P<0.05)。结论:对保留NAC改良根治术即刻乳房再造患者有针对性地实施护理干预,能有效降低术后并发症的发生率,帮助患者顺利渡过围手术期,确保治疗效果。Objective：To explore the effects of nursing intervention on complication of immediate breast reconstruction with keeping the nipple areola complex（NAC） in the modified radical operation of early breast cancer. Methods：Sixty-two cases with early breast cancer treated with immediate breast reconstruction with keeping NAC in the modified radical operation were divided into control group （30 cases） and observation group （32 cases ）. The control group were given routine nursing after radical operation, the observation group were given nursing intervention after immediate breast reconstruction in the modified radical operation. The incidence of postoperative complication in two group was compared. Results：Skin flap necrosis without subcutaneous effusion, limb edema and incision infection in a case （3.1%） was found in observation group. Skin flap necrosis in 1 case, subcutaneous effusion in 3 cases and limb edema in 2 cases were found in control group. The complication incidence of observation group （3.1%） was lower than that in control group （20.0%） （P 〈 0.05）. Conclusions：The nursing intervention in immediate breast reconstruction with keeping NAC can effectively reduce the incidence of postoperative complication, help patient through perioperation and ensure effective treatment.

关 键 词：乳腺肿瘤 乳房再造 护理干预 乳头乳晕复合体 

分 类 号：R737.9[医药卫生—肿瘤]