双环法+腺体修复成形术在乳腺癌保乳术中乳房缺损的应用  

Application of Round Block Technique with Glands Pepair Plasty in Repairing Breast Defect of Breast Conserving Surgery

作　　者：唐一吟[1] 杨庄青[1] 张季[1] 邹天宁[1] 

机构地区：[1]昆明医科大学第三附属医院乳腺科,云南省乳腺癌临床研究中心,云南昆明650118

出　　处：《昆明医科大学学报》2014年第9期78-82,共5页Journal of Kunming Medical University

基　　金：云南省应用基础研究基金资助项目(2011EZ134)

摘　　要：目的总结采用双环法+腺体修复成形术对早期乳腺癌患者进行保乳手术治疗中乳房缺损修复的临床经验和术后美容效果.方法 2011年10月至2014年3月期间昆明医科大学第三附属医院乳腺科收治的乳腺癌患者50例,其手术方式为在保乳手术时采用了双环法+腺体修复成形术对乳房缺损进行修复,采用体检测量和满意度调查表的方式分析该50例患者的临床资料,并对手术后乳房的美容效果进行评价.结果随访3～29个月,平均16个月,未发现局部和区域淋巴结肿瘤复发;无伤口、皮肤坏死和感染.乳房美容效果评分:大于21分者42例,优良率为84%,95%CI为87.4%～98.3%.患者术后乳房美容评价,非常满意34例(68%),95%CI为55.1%～80.9%,满意13例(26%),95%CI为13.8%～38.2%,一般2例(0.4%),95%CI为1%～14%,不满意1例(0.2%),95%CI为0%～11%,无非常不满意患者.结论选择合适的早期乳腺癌患者,采用切除更多组织以获得更好的预后的同时,利用双环法+腺体修复成形术获得更好的美容效果.术后患者对乳房外形及整体美容效果满意度高,是值得推荐的一种手术方式.Objective To summarize the clinical experience and postoperative cosmetic effect of the round block technique and glands repair plasty in repairing breast defect of breast conserving surgery for the early stage patients. Methods From October 2011 to March 2014,our department has received 50 patents who suffered from breast cancer. We applied the round block technique and glands repair plasty in breast conserving surgery, analyzed their clinical data, and evaluated the degree of satisfaction of the breast cosmetic effect by medical measurement and questionnaire. Results The patients were followed up for 3 to 29 months, with the average of 16 months. No local and regional lymph node tumor recurrence, wound, skin necrosis and infection were found. For the degree of patient satisfaction about the surgery,the good rate was 84%（42/50）,with score over 21 points of 42 cases. For the cosmetic effect,37 patients（74%） were completely satisfied with the surgery,13（26%） patients were satisfied, 2（0.4%） were only modest satisfied, 1（0.2%） was frankly unpleasant, but no one was very dissatisfied. Conclusion Choosing the patient at the early stage, removing more tissue in order to get a better effect,applying the round block technique and glands repair plasty in breast cancer confirmed breast defect in breast augmentation,can get a better cosmetic results. The patients speak highly of the surgery,and the method is worth applying.

关 键 词：乳腺癌 保乳手术 乳房缺损修复 美容效果 

分 类 号：R737.9[医药卫生—肿瘤]