扩张器置换硅胶假体在乳腺癌切除术后乳房再造中的应用  

Application of Dilator-assisted Silicone Prosthesis Replacement in Breast Reconstruction after Breast Cancer Resection

作　　者：马士辉[1] 凌飞海[1] 崔世恩[1] 黄志华[1] 郭子柏 MA Shihui;LING Feihai;CUI Shien;HUANG Zhihua;GUO Zibai(Breast Center,Oncology Branch,Zhongshan People's Hospital,Zhongshan 528403,Guangdong,China)

机构地区：[1]中山市人民医院肿瘤分院乳腺中心,广东中山528403

出　　处：《中国美容医学》2023年第2期51-55,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨扩张器置换硅胶假体在乳腺癌切除术后乳房再造中的疗效。方法:回顾性分析2018年1月-2021年1月于中山市人民医院肿瘤分院行乳腺癌切除术后接受乳房再造的140例患者资料,其中72例接受扩张器置换硅胶假体术(观察组),68例接受单一硅胶假体置入术(对照组),比较两组治疗效果、短期并发症、乳房美观度、患者满意度及生活质量。结果:所有患者顺利完成手术,术后切口均一期愈合。与对照组相比,观察组双侧乳房体积差更小,手术前后乳头水平最大吸气胸围量差值及治疗费用更高,差异有统计学意义(P<0.05)。观察组短期并发症总发生率为16.67%,较对照组的32.35%更低,差异有统计学意义(P<0.05)。术后6个月,观察组乳房Harris优良率、患者满意度及乳腺癌生存质量测评量表评分(Functional assessment of cancer therapy-breast,FACT-B)均显著高于对照组,差异有统计学意义(P<0.05)。结论:乳腺癌切除术后采用扩张器置换硅胶假体进行乳房再造,不仅能获得良好的美学效果,而且短期并发症少,对于提高患者满意度、生活质量方面亦效果显著,有较高的临床应用价值。Objective To explore the effect of dilator-assisted silicone prosthesis replacement in breast reconstruction after breast cancer resection. Methods A retrospective analysis was performed on the data of 140 patients undergoing breast reconstruction after resection surgery of breast cancer in the Zhongshan People’s Hospital between January 2018 and January 2021, including 72 cases undergoing dilator-assisted silicone prosthesis replacement in observation group and other 68 cases undergoing single silicone prosthesis implantation in control group. The curative effect, short-term complications, breast aesthetics, patients satisfaction and quality of life between the two groups were compared. Results All patients successfully completed the surgery,and the postoperative incisions healed at first stage. Compared with the control group, volume difference of bilateral breast was less, and difference value of maximum inspiratory chest circumference before and after surgery and treatment cost were higher in the observation group(P<0.05). The total incidence of short-term complications in observation group was lower than that in control group(16.67% vs 32.35%, P<0.05). At 6 months after surgery, good rate of breast Harris, patients satisfaction and scores of FACT-B score in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The application of dilator-assisted silicone prosthesis replacement in breast reconstruction after breast cancer surgery can not only achieve good cosmetic effects, but also have fewer short-term complications, which can significantly improve patients satisfaction and quality of life.

关 键 词：乳腺癌 乳房再造 扩张器 硅胶假体 乳房美观度 

分 类 号：R737.9[医药卫生—肿瘤]