摘要
目的:探讨乳腺癌改良根治术(MRM)术后即刻双平面乳房重建在早期乳腺癌患者中的应用效果。方法:选取本院2023年1月至2025年1月甲乳胸外科收治的87例早期乳腺癌患者,随机分为研究组(44例)和对照组(43例)。两组均实施MRM,并进行即刻乳房重建(IBR)。研究组实施双平面乳房重建,对照组实施部分背阔肌覆盖假体乳房重建。对比两组围术期指标、手术疗效及风险、并发症发生率、生活质量及乳房美容优良率。结果:研究组假体体积高于对照组,手术及住院时间短于对照组,术中出血量及术后引流量低于对照组(P<0.05)。两组二次手术率、假体丢失率、局部复发率、远处转移率对比无统计差异(P>0.05)。研究组并发症发生率6.82%低于对照组的27.91%(P<0.05)。术后两组各项生活质量评分均较术前升高,且研究组高于对照组(P<0.05)。研究组乳房美容优良率90.91%高于对照组的65.12%(P<0.05)。结论:较部分背阔肌覆盖假体乳房重建术,MRM术后即刻双平面乳房重建治疗早期乳腺癌后的二次手术率、假体丢失率、局部复发率及远端转移率相似,但其更有利于提高乳房美观度及生活质量,优化围术期手术指标,降低并发症发生率。
Objective:To explore the application effect of immediate biplanar breast reconstruction after modified radical mastectomy(MRM)for breast cancer in patients with early breast cancer.Methods:A total of 87 patients with early breast cancer admitted to the Department of Thyroid,Breast and Thoracic Surgery of Daye People s Hospital from January 2023 to January 2025 were selected and randomly divided into the experimental group(44 cases)and the control group(43 cases).Both groups underwent MRM and immediate breast reconstruction(IBR).The experimental group underwent biplanar breast reconstruction,while the control group underwent partial latissimus dorsi muscle covering prosthesis breast reconstruction.The perioperative indicators,surgical efficacy and risks,incidence of complications,quality of life and excellent and good rate of breast aesthetics of the two groups were compared.Results:The prosthesis volume in the experimental group was higher than that in the control group,the operation and hospital stay were shorter than those in the control group,and the intraoperative blood loss and postoperative drainage volume were lower than those in the control group(P<0.05).There was no difference in the rates of secondary operation,prosthesis loss,local recurrence and distant metastasis between the two groups(P>0.05).The incidence of complications in the experimental group was 6.82%,which was lower than 27.91%in the control group(P<0.05).The quality of life scores of both groups increased after the operation compared with those before the operation,and the scores of the experimental group were higher than those of the control group(P<0.05).The excellent and good rate of breast beauty in the experimental group was 90.91%,which was higher than 65.12%in the control group(P<0.05).Conclusion:Compared with partial latissimus dorsii covering prosthesis breast reconstruction,the secondary surgery,prosthesis loss rate,local recurrence rate and distant metastasis rate of immediate biplanar breast reconstruction after MRM for the treatment of early breast cancer are similar.However,it is more conducive to improving breast aesthetics and quality of life,optimizing perioperative surgical indicators and reducing the incidence of complications.
作者
邹庚
Zou Geng(Department of Thyroid,Breast and Thoracic Surgery,Daye People's Hospital,Daye Hubei,435100,China)
出处
《中外女性健康研究》
2025年第9期104-106,137,共4页
Women's Health Research
关键词
乳腺癌
乳腺癌改良根治术
即刻乳房重建
双平面乳房重建
Breast cancer
Modified radical mastectomy for breast cancer
Immediate breast reconstruction
Biplanar breast reconstruction
