摘要
目的分析乳腺癌保乳根治术患者切缘阳性相关影响因素。方法选取2017年1月至2019年12月在郑州市第七人民医院接受乳腺癌保乳术的82例女性患者,分析其切缘阳性影响因素。结果单因素分析显示年龄、病理类型、钙化范围、术前核磁提示病灶与切缘阳性具有相关性(P<0.05);多因素回归分析显示病理类型、钙化范围、术前核磁提示病灶是保乳根治术切缘阳性的独立影响因素(P<0.05)。结论病理类型、钙化范围、术前核磁提示病灶与乳腺癌保乳根治术患者切缘阳性明显相关,术前可通过相关检查确认情况以利于手术时扩大切除范围降低切缘阳性率,避免再次手术。
【Objective】To analyze factors related to positive incisal margin in breast cancer patients undergoing breastconserving surgery.【Methods】Between January 2017 and December 2019,82 female patients who underwent breast-conserving radical mastectomy were enrolled in this study,and factors affecting positive incisal margin were analyzed.【Results】Univariate analysis showed that age,pathological type,calcification range,and preoperative MRI showing the lesion were correlated with positive incisal margin(P<0.05).Multivariate regression analysis showed the pathological type,calcification range and preoperative MRI showing the lesion were independent factor influencing positive incisal margin of radical mastectomy(P<0.05).【Conclusion】Pathological type,calcification range and preoperative MRI showing the lesion are significantly related to positive incisal margin in breast cancer patients undergoing breast-conserving surgery.Relevant examinations can be performed to confirm the condition before surgery so as to expand the scope of resection and reduce the incisal margin positive rate,thereby avoiding re-surgery.
作者
王虹
WANG Hong(Zhengzhou Seventh People's Hospital,Zhengzhou,Henan 450000,China)
出处
《中国医学工程》
2021年第9期44-47,共4页
China Medical Engineering
关键词
乳腺癌
保乳根治术
切缘阳性
breast cancer
breast-conserving surgery
positive incisal margin
