早期乳腺癌保乳术应用肿瘤整形技术治疗乳腺癌的效果探析
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摘要
目的研究肿瘤整形技术治疗早期乳腺癌患者临床效果。方法回顾性分析2014年6月-2016年6月我院行常规保乳术(n=33)和整形保乳术(n=41)患者临床资料,比较两组治疗效果、术后乳房外形美观度和患者生活质量。结果两组术后治疗方案、复发率、转移率、生存率、并发症发生率无明显差异;治疗后,两组患者美容等级评定结果优良率分别为82.93%和60.61(P<0.05),美容组整形美容效果明显更优;两组患者FACT-B各维度评分均明显升高(P<0.05),且整形组家庭/社会维度、情感维度评分明显高于常规组(P<0.05)。结论肿瘤整形技术治疗早期乳腺癌患者效果良好,术后生存率和并发症发生情况与常规手术治疗基本持平,且可明显改善患者术后乳房外形,提高患者生活质量。
Objective To study the clinical effects of tumor plastic technique in the treatment of patients with early breast cancer.Methods The clinical data of patients with routine breast-conserving surgery(n=33) and patients with plastic breastconserving surgery(n=41) from June 2014 to June 2016 in our hospital were retrospectively analyzed. The treatment effects, postoperative breast aesthetics and patients' quality of life were compared between the two groups. Results There were no significant differences in the postoperative treatment plans, recurrence rate, metastasis rate, survival rate and incidence rate of complications between the two groups. After treatment, the excellent and good rates of cosmetic grade evaluation were 82.93% and 60.61% respectively in the two groups(P<0.05). The plastic and cosmetic effects in cosmetic group were significantly better. The dimensions scores of FACT-B in the two groups were significantly increased(P<0.05), and the scores of family/social dimension and emotional dimension in plastic group were significantly higher than those in routine group(P<0.05). Conclusion Tumor plastic technique has good effects in the treatment of patients with early breast cancer, and its postoperative survival rate and occurrence of complications are basically the same as those of routine surgery, and it can significantly improve the postoperative breast shape and improve the quality of life of patients.
Objective To study the clinical effects of tumor plastic technique in the treatment of patients with early breast cancer.Methods The clinical data of patients with routine breast-conserving surgery(n=33) and patients with plastic breastconserving surgery(n=41) from June 2014 to June 2016 in our hospital were retrospectively analyzed. The treatment effects, postoperative breast aesthetics and patients' quality of life were compared between the two groups. Results There were no significant differences in the postoperative treatment plans, recurrence rate, metastasis rate, survival rate and incidence rate of complications between the two groups. After treatment, the excellent and good rates of cosmetic grade evaluation were 82.93% and 60.61% respectively in the two groups(P<0.05). The plastic and cosmetic effects in cosmetic group were significantly better. The dimensions scores of FACT-B in the two groups were significantly increased(P<0.05), and the scores of family/social dimension and emotional dimension in plastic group were significantly higher than those in routine group(P<0.05). Conclusion Tumor plastic technique has good effects in the treatment of patients with early breast cancer, and its postoperative survival rate and occurrence of complications are basically the same as those of routine surgery, and it can significantly improve the postoperative breast shape and improve the quality of life of patients.
引文
[1]刘现义,李中,王晓春等.早期乳腺癌保乳手术治疗的有效性及安全性.中国肿瘤临床与康复,2016,23(6);695-697.
[2]章骏,赵怡,王群,等.早期乳腺癌患者保乳手术后的生存和复发状况研究.实用癌症杂志,2015,30(7);1035-1038.
[3]于芷晗,常铁君,曲岩,等.整形外科技术在早期乳腺癌保乳手术中的临床应用[J].医学与哲学,2016,37(4):51-52.
[4]曹勇,罗杰,周鑫,等.肿瘤整形技术在早期乳腺癌保乳手术中的临床应用[J].中国普通外科杂志,2017,26(5):607-613.
[5]尹琦静,王艳,郭梅,等.乳腺癌化疗患者心理弹性状况与生活质量的关系研究[J].实用临床医药杂志,2015,19(20):23-25.
[6]税晓容,张智,张远起.虫草素对乳腺癌细胞增殖的调控作用及其相关机制研究.基因组学与应用生物学,2015,34(12);2560-2563.
[7]陈万青,郑荣寿.中国女性乳腺癌发病死亡和生存状况[J].中国肿瘤临床,2015,42(13):668-674.
[8]吴炅.肿瘤整形技术在乳腺癌治疗中的应用[J].临床外科杂志,2016,24(9):660-662.
[9]唐玮,刘剑仑,杨华伟,等.整形保乳术与常规保乳术在早期乳腺癌治疗中的比较分析[J].中国肿瘤临床,2016,43(6):235-239.
[2]章骏,赵怡,王群,等.早期乳腺癌患者保乳手术后的生存和复发状况研究.实用癌症杂志,2015,30(7);1035-1038.
[3]于芷晗,常铁君,曲岩,等.整形外科技术在早期乳腺癌保乳手术中的临床应用[J].医学与哲学,2016,37(4):51-52.
[4]曹勇,罗杰,周鑫,等.肿瘤整形技术在早期乳腺癌保乳手术中的临床应用[J].中国普通外科杂志,2017,26(5):607-613.
[5]尹琦静,王艳,郭梅,等.乳腺癌化疗患者心理弹性状况与生活质量的关系研究[J].实用临床医药杂志,2015,19(20):23-25.
[6]税晓容,张智,张远起.虫草素对乳腺癌细胞增殖的调控作用及其相关机制研究.基因组学与应用生物学,2015,34(12);2560-2563.
[7]陈万青,郑荣寿.中国女性乳腺癌发病死亡和生存状况[J].中国肿瘤临床,2015,42(13):668-674.
[8]吴炅.肿瘤整形技术在乳腺癌治疗中的应用[J].临床外科杂志,2016,24(9):660-662.
[9]唐玮,刘剑仑,杨华伟,等.整形保乳术与常规保乳术在早期乳腺癌治疗中的比较分析[J].中国肿瘤临床,2016,43(6):235-239.