摘要
目的探究保留乳头的乳腺癌切除术(NSM)、传统乳腺癌根治术(CM)在治疗早期乳腺癌患者中的应用价值及对生存情况的影响.方法选取2017年5月—2018年1月该院乳腺外科收治的126例早期乳腺癌患者作为研究对象,根据治疗方法的不同将患者分为常规组与研究组,每组63例.常规组行CM治疗,研究组采用NSM治疗.比较两组手术指标、美观效果、并发症情况及随访3年生存情况.结果研究组手术时间、切口长度及住院时间均短于常规组,术中出血量小于常规组,差异有统计学意义(P<0.05);研究组乳房外观总优良率为92.06%(58/63),显著高于常规组的77.78%(49/63),差异有统计学意义(P<0.05);研究组并发症总发生率为26.98%(17/63),与常规组的23.80%(15/63)比较,差异无统计学意义(P>0.05);随访3年,研究组局部复发率、无病生存率、总生存率分别为11.11%(7/63)、85.71%(54/63)、93.65%(59/63),与常规组的7.94%(5/63)、82.54%(52/63)、90.47%(57/63)比较,差异无统计学意义(P>0.05).结论与CM对比,NSM治疗早期乳腺癌患者有良好的安全性,能缩短手术时间、切口长度和住院时间,减小出血量,能改善手术情况,提高美观效果,患者易接受,且不影响预后生存质量.
Objective To explore the application value of nipple-sparing mastectomy(NSM)and conventional mastectomy(CM)in the treatment of patients with early breast cancer and their impact on survival.Methods 126 patients with early breast cancer admitted to the Department of Oncology of the hospital from May 2017 to January 2018 were selected as the research objects.According to different treatment methods,the patients were divided into a conventional group and a research group,with 63 patients in each group.The conventional group was treated with CM,and the study group was treated with NSM.The surgical indexes,aesthetic effects,complications and 3-year survival were compared between the two groups.Results The operative time,incision length and hospital stay of the study group were shorter than those of the conventional group,and the amount of intraoperative blood loss was smaller than that of the conventional group,and the difference was statistically significant(P<0.05).The overall good rate of breast appearance in study group was(92.06%,58/63),which was significantly higher than 77.78%(49/63)in conventional group,and the difference was statistically significant(P<0.05).The total incidence of complications in study group was 26.98%(17/63),which was compared with 23.80%(15/63)in conventional group,and the difference was not statistically significant(P>0.05).The local recurrence rate,disease-free survival rate and overall survival rate of the study group were 11.11%(7/63),85.71%(54/63)and 93.65%(59/63),respectively,which were compared with 7.94%(5/63),82.54%(52/63)and 90.47%(57/63)of the conventional group,and the differences were not statistically significant(P>0.05).Conclusion Compared with CM,NSM has good safety in the treatment of early breast cancer patients,can shorten operation time,incision length and hospital stay,reduce blood loss,improve the aesthetic effect,patients easily accept,and does not affect the prognosis of life quality.
作者
韩金怡
HAN Jinyi(Department of Breast Surgery,Affiliated Hospital of Chifeng University,Chifeng Inner Mongolia,024000,China)
出处
《反射疗法与康复医学》
2021年第19期45-48,共4页
Reflexology And Rehabilitation Medicine
关键词
保留乳头的乳腺癌切除术
乳腺癌根治术
乳腺癌
美观效果
Nipple sparing breast cancer resection
Radical mastectomy for breast cancer
Breast cancer
Beautiful effect
作者简介
韩金怡(1987-),女,内蒙古赤峰人,硕士研究生,主治医师,研究方向:乳腺外科疾病的诊断与治疗等。
