摘要
目的分析保留乳头乳晕的早期乳腺癌切除(NSM)联合背阔肌肌皮瓣Ⅰ期乳房重建术的应用效果。方法选取2018年7月至2020年7月柘城县人民医院110例早期乳腺癌患者,依照手术方案分为两组,对照组(55例)接受NSM联合背阔肌肌皮瓣Ⅱ期乳房重建术,观察组(55例)接受NSM联合背阔肌肌皮瓣Ⅰ期乳房重建术,比较两组手术情况、乳房外观美容效果、并发症发生情况、生活质量。结果两组手术时间、术中失血量对比,差异无统计学意义(P>0.05);两组皮瓣坏死、切口愈合不良、切口感染、皮下积液发生率对比,差异无统计学意义(P>0.05);术后6个月,两组乳房外观美容效果、上肢功能对比,差异无统计学意义(P>0.05);术后6个月,观察组乳腺癌生活质量专用量表(QLQ-BR53)评分较对照组低(P<0.05)。结论NSM联合背阔肌肌皮瓣Ⅰ期乳房重建术治疗早期乳腺癌患者,乳房外观美容效果确切,能有效提高生活质量,且不会增加并发症发生风险。
Objective To analyze the application effect of nipple-areola-sparing early breast cancer resection(NSM)combined with latissimus dorsi myocutaneous flapⅠstage breast reconstruction.Methods A total of 110 patients with early breast cancer in Zhecheng People’s Hospital from July 2018 to July 2020 were selected and divided into two groups according to the operation plan.The control group(55 cases)received NSM combined with latissimus dorsi muscle flapⅡbreast reconstruction.The observation group(55 cases)received NSM combined with latissimus dorsi myocutaneous flapⅠ-stage breast reconstruction,and the operation conditions,cosmetic effects of breast appearance,complications and quality of life were compared between the two groups.Results There was no statistical difference in operation time and intraoperative blood loss between the two groups(P>0.05).There was no statistical difference in the incidence of skin flap necrosis,poor incision healing,incision infection and subcutaneous effusion between the two groups(P>0.05).At 6 months after operation,there was no statistical difference in the cosmetic effect of breast appearance and upper limb function between the two groups(P>0.05).Six months after operation,the quality of life questionnaire-breast cancer 53(QLQ-BR53)score in the observation group was lower than that in the control group(P<0.05).Conclusion NSM combined with latissimus dorsi myocutaneous flapⅠbreast reconstruction in the treatment of patients with early breast cancer,the cosmetic effect of breast appearance is accurate,can effectively improve the quality of life,and will not increase the risk of complications.
作者
方月华
FANG Yuehua(Department of General Surgery,Zhecheng People’s Hospital,Shangqiu 476200,China)
出处
《河南医学研究》
CAS
2022年第16期2978-2981,共4页
Henan Medical Research
关键词
早期乳腺癌
保留乳头乳晕
乳房切除
淋巴结清扫
背阔肌肌皮瓣
乳房重建
early breast cancer
nipple and areola preservation
mastectomy
lymph node dissection
latissimus dorsi myocutaneous flap
breast reconstruction
