乳腺癌保乳术后应用3D技术填充瘤腔进行适形放疗的临床研究  

Clinical Study of Conformal Radiotherapy with 3D Technology Filling Tumor Cavity After Breast Conserving Surgery for Breast Cancer

作　　者：范盛韵 徐冰[1] FAN Sheng-yun;XU Bing(Department of Radiotherapy Oncology,Shanghai First People's Hospital,Shanghai 200080)

机构地区：[1]上海市第一人民医院肿瘤放疗科,上海200080

出　　处：《中国医疗器械信息》2025年第3期126-128,共3页China Medical Device Information

摘　　要：目的:探讨3D技术填充瘤腔的保乳手术与传统保乳手术在早期乳腺癌治疗中的临床效果和安全性。方法:选取106例早期乳腺癌患者,随机分为对照组和观察组,各53例。对照组接受传统保乳手术和常规放疗,观察组接受3D技术填充瘤腔的保乳手术和3D影像引导的适形放疗。对比两组的术后并发症发生率、局部复发率、放疗副反应及胸部美学评分。结果:观察组术后并发症、局部复发率和放疗副反应均低于对照组,胸部美学评分显著高于对照组(P<0.05)。结论:3D技术填充瘤腔的保乳手术结合3D影像引导的适形放疗,能够降低并发症和复发率,改善术后胸部美学效果。Objective:To explore the clinical effect and safety of breast conserving surgery with 3D technology filling tumor cavity and traditional breast conserving surgery in the treatment of early breast cancer.Methods:106 cases of early breast cancer were randomly divided into control group and observation group,53 cases in each group.The control group received traditional breast conserving surgery and conventional radiotherapy,while the observation group received breast conserving surgery with 3D technology filling the tumor cavity and 3D image-guided conformal radiotherapy.Compare the incidence of postoperative complications,local recurrence rate,radiotherapy side effects,and chest aesthetic scores between the two groups.Results:The postoperative complications,local recurrence rate,and radiotherapy side effects in the observation group were lower than those in the control group,and the chest aesthetic score was significantly higher than that in the control group(P<0.05).Conclusion:The combination of 3D technology filled breast conserving surgery and 3D imageguided conformal radiotherapy can reduce complications and recurrence rates,and improve postoperative chest aesthetics.

关 键 词：乳腺癌 保乳术 3D填充技术 放疗 安全性 

分 类 号：TH774[机械工程—仪器科学与技术] R737.9[机械工程—精密仪器及机械]