空芯“2”切口技术在乳腺肿瘤整形手术中的应用  

Application of hollow core“2”incision technique in oncoplastic surgery of breast cancer

作　　者：董洁[1] 邓志红[1] 曾加佳 黄蕴 卓睿[1] DONG Jie;DENG Zhihong;ZENG Jiajia;HUANG Yun;ZHUO Rui(Department of Breast Surgery of Guilin TCM Hospital,Guilin 541002,China)

机构地区：[1]桂林市中医医院乳腺科,桂林541002

出　　处：《中国癌症防治杂志》2021年第2期207-210,共4页CHINESE JOURNAL OF ONCOLOGY PREVENTION AND TREATMENT

基　　金：广西医药卫生自筹经费计划课题(Z2012390)。

摘　　要：目的探讨空芯"2"切口在乳腺肿瘤整形手术中的临床应用效果。方法回顾性分析2017年5月至2018年9月于桂林市中医医院乳腺科接受空芯"2"切口乳腺肿瘤整形手术的28例乳腺癌患者的临床及随访资料,分析术后并发症、美学效果及复发情况。结果28例患者平均年龄为57.3岁,平均住院时间为6 d,平均切除组织重量为50.1 g,肿瘤大小最大为4.0 cm×3.2 cm,最小为1.8 cm×2.0 cm,平均手术时间为82 min,术中中位失血量为30.5 mL。1例患者进行二次阳性切缘切除。所有患者术后1个月内均未见血清肿、脂肪液化和组织坏死等并发症发生。术后1年美容效果优等18例,良好8例,一般2例。术后随访3年均未见局部复发。结论空芯"2"切口乳腺肿瘤整形手术安全性良好,患者可获得良好的美学效果,为乳腺肿瘤整形技术提供了新的方法。ObjectiveTo investigate the effect of the clinical application of the hollow core"2"incision technique in oncoplastic surgery of breast cancer.MethodsThe clinical and follow-up data of 28 breast cancer patients who underwent hollow core"2"incision breast oncoplastic surgery in the department of Breast Surgery,Guilin TCM Hospital,from May 2017 to September 2018 were retrospectively analyzed,and the postoperative complications,aesthetic effect and recurrence were analyzed.ResultsThe mean age of the 28 patients was 57.3 years,the mean hospital stay was 6 days,the mean weight of the resected tissue was 50.1 g,the maximum tumor size was 4.0 cm×3.2 cm,the minimum was 1.8 cm×2.0 cm,the mean operation time was 82 min,and the intraoperative median blood loss was 30.5 mL.One patient underwent a second positive margin resection.There were no complications such as seroma,fat liquefaction and tissue necrosis in all patients within 1 month after surgery.One year after surgery,the cosmetic effect was excellent in 18 cases,good in 8 cases,and general in 2 cases.There was no local recurrence in the 3-year follow-up.ConclusionsThe hollow core"2"incision breast oncoplastic surgery technique has good tumor safety and aesthetic results,which can provide a new method for breast oncoplastic surgery.

关 键 词：乳腺肿瘤 肿瘤整形 空芯“2”切口 预后 

分 类 号：R737.9[医药卫生—肿瘤]