T2乳腺癌保乳术中残腔整形修复临床效果分析.docVIP

T2乳腺癌保乳术中残腔整形修复临床效果分析 　　[摘要]目的 探讨T2乳腺癌保乳术中残腔整形修复的临床效果。方法 选取2012年1月～2015年11月收治的T2乳腺癌患者52例，随机分为两组，治疗组30例在保乳术中应用整形技术缩小残腔，对照组22例按传统保乳术进行治疗，对两组临床资料进行分析和术后美容效果进行评价。结果 术后随访6～12个月，治疗组总有效率明显高于对照组，差异有统计学意义（P0.05）；观察组患者术后生活质量评分明显高于对照组，差异有统计学意义（P0.05）。结论 应用整形技术修复保乳术中较大残腔，不强求封闭，重在缩小，术后美容效果良好，可使更多肿块较大患者受益。 　　[关键词]乳腺癌；保乳手术；残腔；整形修复 　　[中图分类号] R739.9 [文献标识码] A [文章编号] 1674-4721（2016）07（b）-0072-04 　　[Abstract]Objective To investigate the clinical effect of residual cavity plastic repair in breast conserving surgery for patients with T2 breast cancers.Methods Altogether 52 cases of T2 breast cancer patients treated in the hospital from January 2012 to November 2015 were randomly divided into treatment group （30 cases） and control group （22 cases）.The plastic repair techniques were adopted for the treatment group in the breast conserving surgery to reduce the residual cavity，traditional breast conserving surgery was taken for the control group，the clinical data of the two groups was analyzed and postoperative cosmetic result was evaluated.Results After 6-12 months of follow-up，total efficiency in the treatment group was significantly higher than that in the control group （P0.05）；Life quality in the observation group was significantly higher than that in the control group，with statistically significant difference （P0.05）.Conclusion Application of plastic surgery in the repair of large residual cavity should focus on narrowing residual cavity instead of making the cavity closed.And it demonstrates excellent postoperative cosmetic effects and may benefit more patients with larger lumps. 　　[Key words]Breast cancer；Breast conserving surgery；Residual cavity；Plastic repair 　　乳腺肿瘤外科的手术方式经历了不同时期的演变和发展，目前保乳手术已成为早期乳腺癌的标准手术方式[1-2]。随着人们对自身生活质量的追求，肿块较大（T2）患者的保乳意愿愈来愈多见。这类患者保乳中残腔较大，如何在追求切缘阴性和保持乳房外形美观之间寻求最佳平衡是乳腺外科医生关注的热点。T2患者残腔较大，常限制了保乳术的实施，且术后易遗留双乳明显不对称，需健侧乳房再次整形以恢复对称，增加了患者精神及经济负担。为改善这一情况，本组研究选取T2乳腺癌采用整形技术缩小保乳术残腔，并对适应证、切口选择、修复方法、术后美容效果进行评估及分析。 　　1资料与方法 　　1.1一般资料 　　选取2012年1月～2015年11月我院乳腺二科52例要求