绝经早期乳腺癌患者保留乳头乳晕改良根治术联合假体即刻置入术疗效观察  

Application of nipple-preserving and areola-preserving modified radical mastectomy combined with immediate prosthesis implantation in early menopausal breast cancer

作　　者：谌彦军[1] 崔贺华[1] 杜鹏阳 靳晓燕 Chen Yanjun;Cui Hehua;Du Pengyang;Jin Xiaoyan(The Third People's Hospital of Luohe City,Luohe 462000,Henan,China)

机构地区：[1]漯河市第三人民医院,河南漯河462000

出　　处：《临床心身疾病杂志》2021年第1期44-46,98,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨绝经早期乳腺癌患者保留乳头乳晕改良根治术联合假体即刻置入术的临床疗效。方法将74例绝经早期乳腺癌患者按照随机数字表法分为两组,各37例。两组均给予保留乳头乳晕改良根治术治疗,研究组联合假体即刻置入术治疗,比较两组乳房外观优良率,术前及术后4个月末采用乳腺癌患者生命质量测量量表评定两组的生存质量,比较两组并发症发生率。结果研究组乳房外观优良率显著高于对照组(P<0.01)。术后4个月末两组乳腺癌患者生命质量测量量表各项评分均显著高于术前(P<0.01),观察组情感状况、社会/家庭状况及总分较对照组升高更显著(P<0.01)。两组并发症发生率比较差异无统计学意义(P>0.05)。结论保留乳头乳晕改良根治术联合假体即刻置入术可以显著提高绝经早期乳腺癌患者乳房外观优良率及生存质量,且不增加术后并发症。Objective To investigate the application of nipple-preserving and areola-preserving modified radical mastectomy combined with immediate prosthesis implantation in early menopausal breast cancer.Methods A total of 74 patients with early menopausal breast cancer were divided into two groups according to the random number table method,with 37 cases in each group.Both groups were treated with nipple-preserving and areola-preserving modified radical mastectomy,and the study group was combined with immediate prosthesis implantation,compare the excellent and good rate of breast appearance between the two groups.Before the operation and at the end of 4 months after the operation,the Functional Assessment of Cancer Therapy-Breast(FACT-B)was used to assess the quality of life of the two groups and compare the incidence of complications between the two groups.Results The excellent and good rate of breast appearance in the study group was significantly higher than that in the control group(P<0.01).At the end of 4 months after operation,the scores of FACT-B in the two groups were significantly higher than those before operation(P<0.01).The emotional status,social/family status and total score of the observation group increased more significantly than those of the control group(P<0.01).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions The nipple-preserving and areola-preserving modified radical mastectomy combined with immediate prosthesis implantation in early menopausal breast cancer can significantly improve the excellent and good rate of breast appearance and quality of life of patients with early menopausal breast cancer without increasing postoperative complications.

关 键 词：绝经早期 乳腺癌 保留乳头乳晕改良根治术 假体即刻置入术 乳腺癌患者生命质量测量量表 

分 类 号：R737.9[医药卫生—肿瘤]