乳腺区段切除术联合随意皮瓣转移术治疗非哺乳期乳腺炎的临床及美学效果  

Clinical and Aesthetic Effects of Partial Mastectomy Combined with Random Skin Flap Transfer in Non-puerperal Mastitis During Segmental Mastectomy

作　　者：刘汉成[1] 李慧明[1] 马立辉[1] LIU Hancheng;LI Huiming;MA Lihui(Department of Breast Surgery,the Affiliated Hospital of Chengde Medical College,Chengde 067000,Hebei,China)

机构地区：[1]承德医学院附属医院乳腺外科,河北承德067000

出　　处：《中国美容医学》2023年第9期29-32,共4页Chinese Journal of Aesthetic Medicine

基　　金：河北省卫生健康委医学科学研究课题计划(编号:20211331)。

摘　　要：目的:探讨乳腺区段切除术联合随意皮瓣转移术治疗非哺乳期乳腺炎(Non-puerperal mastitis,NPM)的临床及美学效果。方法:选取2019年6月-2021年6月笔者医院收治的88例NPM患者,随机分为对照组和联合组,各44例,对照组给予乳腺区段切除术治疗,联合组给予乳腺区段切除术联合随意皮瓣转移术治疗。比较两组患者术后炎症因子水平、乳房美学效果优良率、并发症及随访1年的治愈和复发情况。结果:术后1周,两组炎症因子水平均低于术前(P<0.05),但组间比较差异无统计学意义(P>0.05);术后1个月,联合组乳房美学效果优良率为90.91%,高于对照组的61.36%(P<0.05);术后1个月内,联合组并发症总发生率为6.82%,低于对照组的22.73%(P<0.05);随访1年,联合组治愈率高于对照组,复发率低于对照组(P<0.05)。结论:乳腺区段切除术联合随意皮瓣转移术治疗NPM,可以缓解炎症反应,提高美学效果,且治愈率高,并发症和复发风险低。Objective To explore the clinical and aesthetic effects of partial mastectomy combined with random skin flap transfer in non-puerperal mastitis(NPM)during segmental mastectomy.Methods A total of 88 patients with NPM admitted to the author's hospital were enrolled and randomly divided into control group and combination group between June 2019 and June 2021,44 cases in each group.The control group underwent segmental mastectomy,while combination group underwent segmental mastectomy combined with random skin flap transfer.The levels of inflammatory factors,excellent rate of Breast aesthetic effect,occurrence of complications,cure and recurrence after 1 year of follow-up were compared between the two groups.Results After surgery,levels of inflammatory factors in both groups were decreased(P<0.05),but there was no significant significance between the two groups(P>0.05).excellent rate of Breast aesthetic effect in combination group was higher than that in control group(90.91%vs 61.36%,P<0.05).Within 1 month after surgery,total incidence of complications in combination group was lower than that in control group(6.82%vs 22.73%,P<0.05).After 1 year of follow-up,cure rate in combination group was higher than that in control group,and recurrence rate was lower than that in control group(P<0.05).Conclusion Segmental mastectomy combined with random flap transfer can alleviate inflammation response and improve aesthetic effect,with high cure rate and low risks of complications and recurrence in NPM.

关 键 词：乳腺区段切除术 随意皮瓣转移术 非哺乳期乳腺炎 美学效果 复发 

分 类 号：R622[医药卫生—整形外科]