乳腺癌腔镜保乳肿瘤整形手术中利用腔镜带蒂大网膜获取技术的临床应用效果  

The clinical application effect of endoscopic pedicled greater omentum in breast cancer surgery

作　　者：徐秋[1] 张治星 苏阳[1] XU Qiu;ZHANG Zhi-xing;SU Yang(Department of general surgery,No.1 People's Hospital,Henan Province 473000,China)

机构地区：[1]南阳市第一人民医院普外二科,河南南阳473000

出　　处：《中国医疗美容》2020年第1期19-23,共5页China Medical Cosmetology

摘　　要：目的研究乳腺癌腔镜保乳肿瘤整形手术中利用腔镜带蒂大网膜获取技术的临床应用效果。方法 选取2017年2月至2019年2月我院收治的乳腺癌患者78例,根据是否使用腔镜带蒂大网膜获取技术分为研究组(39例)与对照组(39例),对照组予单纯的采用乳腺癌腔镜保乳肿瘤手术,研究组予腔镜保乳肿瘤整形手术+腔镜带蒂大网膜肿瘤整形手术,比较两组患者的手术指标;QLQ-BR23量表各指标评与各炎症指标。结果 研究组手术出血量与引流量均明显高于对照组(P<0.05),研究组淋巴结清扫数目与术后并发症与对照组相比无统计学差异(P>0.05);治疗前后两组患者对体型、未来看法评分有明显提高,治疗后研究组的各项评分均显著高于对照组(P<0.05);手术前后两组患者的CRP、IL-8、PGE2、TNF-α均显著的变化(P<0.05),治疗后研究组各炎症指标与对照组相比无显著差异(P>0.05)。结论 腔镜带蒂大网膜获取技术是一种安全有效的新科技,运用于乳腺癌腔镜保乳肿瘤整形手术并发症少,术后炎症小,恢复快,整形美容效果良好,有利于患者的身心健康,具有较高的临床价值。Objective To study the clinical effect of endoscopic pedicled greater omentum in breast cancer plastic surgery.Methods From February 2017 to February 2019,78 breast cancer patients in our hospital were divided into study group (39 cases) and control group (39 cases) according to whether or not to use endoscopic pedicled greater omentum acquisition technology.The control group was treated with simple breast cancer endoscopic breast conserving surgery,and the study group was treated with endoscopic breast conserving surgery + endoscopic pedicled greater omentum tumor plastic surgery The operation index of QLQ-BR23 and inflammation index.Results The bleeding volume and drainage volume in the study group were significantly higher than those in the control group (P<0.05).There was no significant difference in the number of lymph node dissection and postoperative complications between the study group and the control group (P>0.05);Before and after treatment,the scores of somatotype and future outlook in the two groups were significantly higher than those in the control group (P<0.05);There were significant changes in CRP,IL-8,PGE2 and TNF-α in the two groups before and after operation (P<0.05).There was no significant difference in inflammatory indexes between the study group and the control group (P>0.05).Conclusion This technique is a safe and effective new technology.It can be used in breast cancer surgery with less complications,less postoperative inflammation,fast recovery,good cosmetic effect,good physical and mental health of patients,and has high clinical value.

关 键 词：乳腺癌腔镜保乳肿瘤整形手术 腔镜带蒂大网膜获取技术 临床应用效果 

分 类 号：R737.9[医药卫生—肿瘤]