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作 者:钟善琼[1] ZHONG Shan-qiong(Department of Breast Surgery,West China Hospital,Sichuan University,Chengdu 610041,Sichuan,China)
机构地区:[1]四川大学华西医院乳腺外科,四川成都610041
出 处:《中国美容医学》2021年第6期39-42,共4页Chinese Journal of Aesthetic Medicine
摘 要:目的:分析保留乳头乳晕复合体(Nipple-areolar complex,NAC)改良根治术并行一期乳房重建对乳腺癌患者治疗效果及生活质量的影响。方法:回顾性分析笔者医院2016年1月-2018年3月收治且经临床病理确诊的120例乳腺癌患者的临床资料。根据不同的治疗方法分为对照组(未保留NAC的皮下乳腺癌改良根治术)和研究组(保留NAC改良根治术并行一期乳房重建术)。比较两组患者术后创面情况、患者乳房美观度的满意情况、生活质量及并发症发生率、复发率、远处转移率。结果:研究组FACT评分显著高于对照组,差异有统计学意义(P<0.05)。两组引流时间、创面总引流量比较差异无统计学意义(P>0.05)。对照组术后乳房美观度优良率为67.44%低于研究组的96.10%,差异有统计学意义(P<0.05)。研究组术后并发症发生率(20.78%)、复发率(2.60%)及远处转移率(1.30%)与对照组(16.28%、0.00%、2.33%)比较差异无统计学意义(P>0.05)。结论:采用保留NAC改良根治术并行一期乳房重建治疗乳腺癌患者有助于保持乳房美观度及功能,提高患者生活质量,且具有较高的安全性和可靠性。Objective To analyze the effect of modified radical mastectomy with nipple-areolar complex(NAC)preservation combined with one-stage breast reconstruction on the treatment effect and quality of life of patients with breast cancer.Methods The clinical data of 120 patients with breast cancer admitted to our hospital from January 2016 to March 2018 and confirmed by clinicopathology were retrospectively analyzed.According to different treatments,they were divided into the control group(modified radical mastectomy without NAC preservation for subcutaneous breast cancer)and the study group(modified radical mastectomy with NAC preservation and first stage breast reconstruction).The wounds,the satisfaction of patients with breast aesthetics,the quality of life and the incidence of complications,recurrence rate,and distant metastasis rate between the two groups were compared.Results The FACT score of the study group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).But there was no difference in drainage time and total wound flow between the two groups(P>0.05).The excellent rate of aesthetics of postoperative breast in the control group was 67.44%,which was significantly lower than that of the study group(96.10%,P<0.05).The incidence of postoperative complications(20.78%),recurrence rate(2.60%)and distant metastasis rate(1.30%)in the study group were similar to that of the control group(16.28%,0.00%,2.33%),and there were no statistical differences between the two groups(P>0.05).Conclusion The modified radical mastectomy with NAC preservation combined with one-stage breast in the treatment of patients with breast cancer helps to maintain the beauty and function of breast,improve the quality of life of patients,and has higher safety and reliability.
关 键 词:乳腺癌 保留乳头乳晕复合体改良根治术 乳房重建 生活质量 美观度
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