探讨腹腔镜在早期乳腺癌的临床治疗价值分析  

To Explore the Clinical Value of Laparoscopy in the Treatment of Early Breast Cancer

作　　者：邹美贞 郑敏辉[1] 张萍[1] 林三 ZOU Mei-zhen;ZHENG Min-hui;ZHANG Ping;LIN San(Cancer Surgery Department,Fujian Provincial Hospital,Fujian Fuzhou 350001)

机构地区：[1]福建省立医院肿瘤外科,福建福州350001

出　　处：《中国医疗器械信息》2024年第4期45-47,共3页China Medical Device Information

摘　　要：目的:探讨腹腔镜在早期乳腺癌的临床治疗价值。方法:选择2020年1月~2022年1月至本院就诊的早期乳腺癌患者80例,随机数字表法分组,对照组(40例)采用传统开放性手术,观察组(40例)采用经腹腔镜下乳腺癌改良根治术+假体隆乳术,将两组的乳房美观度优良率、手术相关指标、并发症发生率、生活质量评分进行比较。结果:观察组乳房美观度优良率、术后1个月生活质量躯体、角色、认知、社会、情绪功能评分显著高于对照组(P<0.05);观察组手术时间、术中出血量、住院时间、术后并发症发生率均明显小于对照组(P<0.05)。结论:早期乳腺癌患者采取经腹腔镜下乳腺癌改良根治术+假体隆乳术的疗效显著,乳房美观度较佳,术后并发症较少,生活质量明显提高。Objective:To explore the clinical value of laparoscopy in the treatment of early breast cancer.Methods:A total of 80 patients with early breast cancer who came to our hospital from January 2020 to January 2022 were selected.They were randomly divided into control group(40 cases)with traditional open surgery and observation group(40 cases)with laparoscopic modified radical mastectomy+prosthetic augmentation mammaplasty.The excellent and good rate of breast beauty,operation related indicators,incidence of complications,and quality of life scores of the two groups were compared.Results:The observation group had a significantly higher rate of excellent breast aesthetics,as well as a 1-month postoperative quality of life,physical,role,cognitive,social,and emotional function scores compared to the control group(P<0.05);The observation group had significantly lower surgical time,intraoperative bleeding volume,hospital stay,and postoperative complications compared to the control group(P<0.05).Conclusion:Laparoscopic modified radical mastectomy plus augmentation mammaplasty with prosthesis is effective for early breast cancer patients,with better breast beauty,fewer postoperative complications,and significantly improved quality of life.

关 键 词：早期乳腺癌 假体隆乳术 乳腺癌改良根治术 腹腔镜 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]