不同手术入路皮下乳房切除假体乳房重建术治疗早期乳腺癌的临床效果
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牛余震(1983.4-),男,山东章丘人,本科,主治医师,主要从事乳腺良恶性疾病手术及综合治疗工作

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R737.9

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Clinical Effect of Subcutaneous Mastectomy and Prosthetic Breast Reconstruction with Different Surgical Approaches in the Treatment of Early-stage Breast Cancer
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    摘要:

    目的 探讨不同手术入路皮下乳房切除假体乳房重建术治疗早期乳腺癌采的临床效果。方法 选 取2020年3月-2022年3月我院收治的64例早期乳腺癌患者为研究对象,根据手术入路的不同分为研究组与 对照组,每组32例。对照组采用乳房下皱襞切口,研究组采用侧胸壁切口,比较两组美学效果、手术指标 及并发症发生情况。结果 研究组美学效果优良率(96.88%)高于对照组(75.00%)(P<0.05);两组住 院时间、术中出血量比较,差异无统计学意义(P>0.05);研究组手术时间、切口愈合时间长于对照组 (P<0.05);研究组术后并发症发生率(9.38%)低于对照组(31.25%)(P<0.05)。结论 皮下乳房切除 假体乳房重建术采用侧胸壁切口对早期乳腺癌患者的临床效果确切,相较于乳房下皱襞切口,能够有效提 升美学效果,降低术后并发症,但手术时间、切口愈合时间相对更长。

    Abstract:

    Objective To investigate the clinical effect of different surgical approaches for subcutaneous mastectomy and breast reconstruction in the treatment of early-stage breast cancer. Methods A total of 64 patients with early-stage breast cancer admitted to our hospital from March 2020 to March 2022 were selected as the research objects. According to the different surgical approaches, they were divided into study group and control group, with 32 patients in each group. The control group was treated with submammary fold incision, and the study group was treated with lateral chest wall incision. The aesthetic effect, surgical indicators and complications were compared between the two groups. Results The excellent and good rate of aesthetic effect in the study group (96.88%) was higher than that in the control group (75.00%) (P0.05). The operation time and incision healing time of the study group were longer than those of the control group (P

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牛余震,孟祥悦,陈 威.不同手术入路皮下乳房切除假体乳房重建术治疗早期乳腺癌的临床效果[J].医学美学美容,2023,32(13):133-136.

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  • 在线发布日期: 2023-09-26
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