乳房再造在乳腺癌综合治疗中的随访研究  

The follow-up study of breast reconstruction in comprehensive therapy of breast cancer

作　　者：韩思源[1] 敖嫩[1] 李荷欢[1] 贺佳妮[1] 刘晓颖[1] 冷冰[1] 李怒[1] 金鑫[1] 刘一东[1] 左娜[1] 金锋[2] 

机构地区：[1]中国医科大学附属第一医院整形外科,辽宁沈阳110001 [2]中国医科大学附属第一医院乳腺外科

出　　处：《中国美容整形外科杂志》2013年第10期603-606,共4页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探讨对乳腺癌患者采用单纯改良根治术和术后应用两种方法再造乳房的临床治疗效果。方法乳腺癌患者共536例，按其治疗方法分为单纯改良根治组（432例）和乳房再造组（104例），乳房再造组患者根据乳房再造时机可再分为即刻再造组（92例）和Ⅱ期再造组（12例）。结果3组患者的并发症发生率、复发率、转移率之间差异无统计学意义（P〉0．05）；乳房再造组患者的手术时间、住院费用明显高于单纯改良根治组，但其患者术后满意率、阶段满意率均明显高于单纯改良根治组。结论在乳腺癌治疗中，即刻乳房再造在保证临床治疗效果的同时，能够获得较好的美学效果，且乳腺癌的复发、转移与单纯改良根治未行乳房再造者无明显差异。Objective To explore the clinical effects of breast cancer patients after simple modified radi- cal mastectomy and application of two methods of breast reconstruction. Methods Totally 536 patients with breast cancer accepted surgical treatment, which were classified into simple modified radical group （432 cases） and breast reconstruction group （ 104）, and patients in breast reconstruction group could be further divided into immediate reconstruction group （92 cases） and secondary reconstruction group （12 cases）. Results The rates of complications, recurrence, metastasis between the three groups had no significantly different （ P 〉 O. 05 ）. The op- eration time and hospitalization costs in breast reconstruction group were obviously higher than those in the sim- ple modified radical group, while the postoperative satisfaction and stage satisfaction were significantly higher than those in simple modified radical group. Conclusion For breast cancer treatment, immediate reconstruc- tion can achieve good aesthetic effect at the same time of guaranty of clinical treatment effect, and the recur- rence and metastasis of breast cancer have no visible difference with simple modified radical mastectomy without breast reconstruction.

关 键 词：乳腺癌 即刻再造 Ⅱ期再造 

分 类 号：R655.8[医药卫生—外科学]