摘要
目的:探究保乳术和延迟即刻重建术对乳腺癌患者术后恢复效果、并发症及生活质量的影响。方法:回顾性分析2016年7月至2017年12月62例乳腺癌患者的临床资料,根据术式不同将患者分为保乳组及重建组。于术后对患者乳房外观及生活质量进行评价;记录患者术后并发症发生情况;对两组患者进行随访,记录患者局部复发及远处转移情况。结果:保乳术患者乳房外观评价优良率为93.33%;重建组为87.50%,组间比较无显著性差异(P>0.05);保乳组患者功能状况评分优于重建组(P<0.05);重建组在附加关注评分上优于保乳组,差异具统计学意义(P <0.05);两组患者总并发症发生率、远期复发、局部转移及生存率比较差异均无统计学意义(P>0.05)。结论:保乳术及乳房重建术均可提高乳腺癌治疗后乳房美容度,改善患者生存质量,两者术后并发症及远期复发未见明显不同,临床上可根据患者临床资料进行术式的选择。
Objective:To investigate the effect of breast-conserving surgery and delayed immediate reconstruction on postoperative recovery,complications and quality of life of patients with breast cancer.Methods:The clinical data of 62 patients with breast cancer who were admitted to the hospital from July 2016 to December 2017 were retrospectively analyzed.They were divided into breast-conserving group and reconstruction group according to different surgical procedures.The breast appearance and quality of life were evaluated after surgery.The incidence of postoperative complications was recorded.All patients were followed up to record the local recurrence and distant metastasis.Results:The excellent and good rate of breast appearance in the breast-conserving group and the reconstruction group were 93.33%and 96.87%,respectively(P>0.05).The functional status score and additional attention score of the breast-conserving group were better than those of the reconstruction group(P<0.05).There was no significant difference in the total incidence of complications,long-term recurrence rate,local metastasis rate or survival rate between the two groups(P>0.05).Conclusion:Breast-conserving surgery and breast reconstruction can improve the breast appearance and quality of life of patients.There is no significant difference between the two in postoperative complications or long-term recurrence.The surgery can be chosen based on the patient's clinical data.
作者
汪龙庆
高波
岳振宇
宋健
WANG Longqing(General Hospital of Fushun Mining Bureau of Liaoning Health Industvy Group,Liaoning Fushun 113008,China)
出处
《河北医学》
CAS
2019年第2期296-299,共4页
Hebei Medicine
基金
辽宁省自然科学基金项目
(编号:201402004)
关键词
保乳术
延迟即刻重建术
乳腺癌
乳房外观
生活质量
Breast-conserving surgery
Delayed immediate reconstruction
Breast cancer
Breast appearance
Quality of life
