放射状切口与横切口在保留NAC的乳腺癌改良根治术加I期假体植入重建术中的手术效果对比分析  

Surgery Effect Analysis of Radial Incision and Transverse Incision in Breast Reconstruction With Ⅰ Period Prosthesis Implantd After NAC Sparing Modified Radical Mastectomy

作　　者：梁婧[1] 高学平[1] 林农[1] 陈文霖[1] 

机构地区：[1]厦门大学附属第一医院乳腺外科,福建厦门361009

出　　处：《中国卫生标准管理》2016年第23期79-81,共3页China Health Standard Management

摘　　要：目的 对比保留乳头乳晕的乳腺癌根治术＋I期假体植入重建术中两种手术切口方式对术后并发症的影响,探讨保留乳头乳晕的乳腺癌根治术＋I期假体植入重建术不同手术切口方式的差异性。方法 回顾分析我科收治并手术治疗的98例乳腺癌患者,随机分为横切口组和放射状切口组,比较两组切口方式术后瘢痕长度,皮下积液发生率、乳头乳晕坏死率的差异性。结果 在本实验中,放射状切口组术后瘢痕短,皮下积液、乳头乳晕缺血坏死的发生率少于横切口组,皮下积液发生率两组差异不具有统计学意义,术后随访7-19个月,患者满意度高于横切口组。结论 放射状切口术后瘢痕短,皮瓣愈合好,瘢痕不易暴露,外形美观。术中胸大肌后间隙、腋窝暴露充分,清扫淋巴结较彻底,乳头乳晕血供好,患者满意度提高。Objective Contrast complications by two incision ways in breast reconstruction with prosthesis after nipple-areola complex sparing modified radical mastectomy. Discuss the differences between different ways of incision in breast reconstruction with prosthesis after nipple-areola complex sparing modified radical mastectomy. Methods 98 patients with breast cancer in our department, were randomly divided into the transverse incision group and radial incision group, compare two groups of incision scar length, postoperative subcutaneous effusion and nipple-areola necrosis incidence rate of difference. Results In this experiment, postoperative scar length is shorter in radial incision group, the incidence of subcutaneous effusion, nippleareola necrosis is less than in transverse incision group, postoperative follow-up of 7 - 19 mouths, patient satisfaction is significantly higher than transverse incision group. Conclusion Radial incision is better choice for shorter and more covert scar, better blood-supplied flap. In radial incision group, post-pectoris major space and axilla are exposed well for complete lymph node dissection, better blood supply for nipple-areola complex make the patients have higher satisfaction.

关 键 词：乳腺癌 硅胶假体 乳房重建 切口类型 

分 类 号：R737[医药卫生—肿瘤]