摘要
目的比较乳腺+腋窝双切口入路和环乳晕单切口入路改良根治+扩张器植入术治疗Ⅰ~Ⅱ期乳腺癌临床疗效差异。方法选取南阳市医学高等专科学校第一附属医院2016年8月至2018年8月收治Ⅰ~Ⅱ期乳腺癌病人116例,以随机数字表法分为A组(58例)和B组(58例),分别采用乳腺+腋窝双切口入路和环乳晕单切口入路手术方案治疗;比较两组手术相关临床指标、术后并发症发生率、乳头乳晕区感觉评分及美观性指标。结果A组与B组手术时间[(121.74±27.62)min比(115.36±25.13)min]、住院时间[(10.02±1.69)d比(8.89±1.42)d]、淋巴结清扫数目[(14.11±3.24)个比(14.56±3.39)个]及淋巴结阳性数目[(1.94±0.46)个比(1.80±0.43)个]差异无统计学意义(P>0.05);A组与B组术后并发症发生率和乳头乳晕区感觉评分[(2.62±0.65)分比(2.54±0.62)分]差异无统计学意义(P>0.05);B组乳腺美学效果评分[(6.56±1.25)分比(6.11±1.12)分]和对称性评分[(2.47±0.39)分比(2.02±0.32)分]均显著高于A组(P<0.05)。结论环乳晕单切口入路改良根治+扩张器植入术治疗Ⅰ~Ⅱ期乳腺癌相较于乳腺+腋窝双切口入路有助于提高术后乳腺美观性,并未增加操作难度和住院时间,且淋巴结清扫效果和安全性两者相近。
Objective To compare the clinical efficacy of double incision subaxillary approach and single incision circum areola approach for modified radical mastectomy+dilator implantation in the treatment of patients with breast cancer for stageⅠ-Ⅱ.Methods A total of 116 patients with breast cancer admitted to the First Affiliated Hospital of Nanyang Medical College from August 2016 to August 2018 were chosen and randomly divided into A group(58 patients)with double incision subaxillary approach and B group(58 patients)with single incision circum areola approach.The levels of operation-related clinical indicators,postoperative complications incidence,nipple areola sensory score and the levels of aesthetic indicators of both groups were compared.Results There was no significant difference in the operation time[(121.74±27.62)min vs.(115.36±25.13)min],the hospitalization time[(10.02±1.69)d vs.(8.89±1.42)d],the number of lymph node dissection[(14.11±3.24)vs.(14.56±3.39)]and the positive number of lymph node[(1.94±0.46)vs.(1.80±0.43)]between A and B group(P>0.05).There was no significant difference in the postoperative complications incidence and nipple areola sensory score[(2.62±0.65)vs.(2.54±0.62)]between A and B group(P>0.05).The nipple areola sensory score[(6.56±1.25)vs.(6.11±1.12)]and the levels of aesthetic indicators[(2.47±0.39)vs.(2.02±0.32)]of B group were significant higher than those of A group(P<0.05).Conclusion Compared with double incision subaxillary approach,single incision circum areola approach for modified radical mastectomy+dilator implantation in the treatment of patients with breast cancer in stageⅠ-Ⅱcan efficiently improve the breast aesthetics after operation,without increasing the difficulty of operation and hospital staying time,and possess the same the lymph node dissection effect and safety.
作者
陈炳勋
李宇飞
CHEN Binxun;LI Yufei(Department of General Surgery,First Affiliated Hospital of Nanyang Medical College,Nanyang,Henan 473000,China)
出处
《安徽医药》
CAS
2020年第11期2210-2213,共4页
Anhui Medical and Pharmaceutical Journal
