球拍形切口乳房成形术在早期乳腺癌女性患者中的应用效果分析

程少萍??苏国森??李上芹

[摘要] 目的 探讨球拍形切口乳房成形术在早期乳腺癌女性患者中的应用效果。 方法 选择2015年4月～2017年2月我院收治的104例早期乳腺癌女性患者，根据治疗方式不同，将所有患者分为两组，每组各52例。对照组实施传统保乳手术，观察组实施球拍形切口乳房成形术。比较两组手术情况、并发症发生率及美容效果。 结果 观察组和对照组的手术时间和术中出血量比较，差异无统计学意义（P>0.05）；两组术后切口感染率、脂肪坏死率、皮膚退缩率比较差异无统计学意义（P>0.05）；观察组切口愈合不良率、血清肿和血肿形成率、乳房疼痛率均明显低于对照组，差异有统计学意义（P<0.05）；观察组美容效果优良率明显优于对照组，差异有统计学意义（P<0.05）。结论 对早期乳腺癌女性患者实施球拍形切口乳房成形术治疗，能提高乳房美容效果，降低术后并发症发生率，值得临床推广。

[关键词] 球拍形切口乳房成形术；早期乳腺癌；肿瘤扩大切除术

[中图分类号] R737.9 [文献标识码] A [文章编号] 2095-0616（2017）12-181-03

Application effect of racket-shape incision mammaplasty in patients with early breast cancer

CHENG Shaoping SU Guosen LI Shangqin

Gaozhou People's Hospital， Guangdong， Gaozhou 525200， China

[Abstract] Objective To investigate the application effects of racket-shape incision mammaplasty in patients with early breast cancer. Methods 104 patients with early breast cancer who admitted into our hospital from April 2015 to February 2017 were selected， and they were divided into two groups by different treatment methods， 52 cases in each. Patients in control group were treated with traditional breast conservative surgery， and patients in observation group were treated with racket-shape incision mammaplasty. The surgical situation， incidence of complications and cosmetic results of two groups were compared. Results The surgery time and intraoperative bleeding volume of two groups were compared， and there was no statistical difference （P>0.05）. The infection rate of postoperative incision， rate of fat necrosis， rate of skin retraction of two groups were compared， and there was no statistical difference （P>0.05）. The rate of poor incision healing， rate of seroma and hematoma， rate of breast pain in observation group were significantly lower than those in control group， and there was statistical difference （P<0.05）. The excellent rate of cosmetic results in observation group was significantly better than that in control group， and there was statistical difference （P<0.05）. Conclusion Racket-shape incision mammaplasty in treatment of patients with early breast cancer is able to increase breast cosmetic results， and decrease the incidence of postoperative complications. It is worthy of clinical promotion.

[Key words] Racket-shape incision mammaplasty； Early breast cancer； Extended tumor resection

乳腺癌为临床常见的恶性肿瘤之一，其发病率在女性恶性肿瘤中位居首位，对女性健康造成严重的危害[1]。外科手术是目前临床治疗本病的首选方式，主要目的在于根治肿瘤的同时，最大限度保留乳房生理功能和美观[2]。早期乳腺癌多以保乳手术与术后放疗联合治疗，其区域和局部控制率、无病生存率和总生存率与全乳房切除术相比疗效相当。肿瘤扩大切除术在保乳手术中较为多见，与全乳切除术相比，该手术能尽可能将腺体组织保留，以避免乳房外形发生变化[3]。但其存在一定的局限性，如保乳手术切除的组织过少，则会增加局部复发风险；切除组织过多，则会导致乳房严重变形[4]。近年……