超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究  

Study on the effect of ultrasound guided resection of stellate and cylindrical lactation preserving areas with stainingmarks

作　　者：赵林娟 吕婕 王文胜 马德茂 侯涛 Zhao Linjuan;Lv Jie;Wang Wensheng;Ma Demao;Hou Tao(Department of Thoracic Surgery,Xi'an Ninth Hospital,Xi'an Shaanxi Province 710000,China)

机构地区：[1]西安市第九医院胸外科,西安710000

出　　处：《中华普外科手术学杂志（电子版）》2024年第6期634-637,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：陕西省自然科学基础研究计划(2021JQ-469)。

摘　　要：目的研究基于超声引导下染色剂标记切缘的梭柱型或圆柱型保乳区段切除术在早期乳腺癌患者中的应用效果。方法回顾性分析2019年9月至2020年9月收治的80例早期乳腺癌患者,采用病例配对法分为梭柱型组和圆柱型组,每组患者各40例。梭柱型组患者接受超声引导下染色剂标记切缘的梭柱型保乳区段切除术,圆柱型组患者接受超声引导下染色剂标记切缘的圆柱型保乳区段切除术。采用SPSS 24.0软件处理数据,围手术期指标、疼痛评分和美观效果等计量资料用()表示,采用独立样本t检验;切缘评价和并发症等计数资料用[例(%)]表示,行χ^(2)检验;采用Kaplan-Meier法绘制生存曲线,采用Log-Rank χ^(2)检验。以P<0.05为差异有统计学意义。结果两组患者染色面积、手术时间、住院时间、切缘情况、乳房顺应性差值、围手术期并发症总发生率比较,差异均无统计学意义(P>0.05);圆柱型组患者乳房凹陷程度和瘢痕评分低于梭柱型组,对称性高于梭柱型组(P<0.05);圆柱型组患者术后即刻疼痛评分低于梭柱型组,术中出血量少于梭柱型组(P<0.05);圆柱型组患者远期并发症总发生率低于梭柱型组(P<0.05);圆柱型组患者无病生存率显著低于梭柱型组(Log-Rank χ^(2)=4.682, P=0.034)。结论超声引导下染色剂标记切缘后行圆柱型保乳区段切除术治疗早期乳腺癌,对患者机体的损伤小,术后远期并发症发生率低,乳房美观度高,安全有效。Objective To study the effect of stellate or cylindrical lactation resection based on ultrasound-guided staining in patients with early breast cancer.Methods A retrospective analysis was performed on 80 patients with early breast cancer admitted from September 2019 to September 2020,and they were divided into two groups by case matching method,with 40 patients in each group.The shuttle-shaped group received ultrasound guided resection of lactation region with staining marks,and the cylindrical group received ultrasound guided resection of lactation region with staining marks.SPSS 24.0 was used to process the data.Measurement data such as perioperative indicators,pain score and aesthetic effect were represented by(),and independent sample t test was used.The statistical data such as margin evaluation and complications were expressed by[cases(%)]andχ^(2) test was performed.Survival curve was plotted by Kaplan-Meier method and Log-Rankχ^(2) test was used.P<0.05 was considered to be statistically significant.Results There were no significant differences in staining area,operation time,hospital stay,incisal margin,breast compliance difference and perioperative complication rate between the two groups(P>0.05).The degree of breast depression,symmetry and scar score in cylindrical group were lower than those in barracuda group(P<0.05).The immediate postoperative pain score of the cylindrical group was lower than that of the shuttle group,and the intraoperative blood loss was lower than that of the shuttle group(P<0.05).The total incidence of long-term complications in the cylindrical group was lower than that in the shuttle group(P<0.05).The disease-free survival rate in the cylindrical group was significantly lower than that in the column group(Log-Rankχ^(2)=4.682,P=0.034).Conclusion IIn the treatment of early breast cancer,the treatment of cylindrical lactation segmentation after ultrasound-guided staining is safe and effective,with little damage to the patient's body,low incidence of postoperative long-term complic

关 键 词：乳腺肿瘤 早期诊断 染色与标记 切缘 乳房切除术 区段 

分 类 号：R656.6[医药卫生—外科学]