张斯琦（1993.7-），女，湖南长沙人，硕士，住院医师，主要从事乳腺癌诊治工作
R737.9
目的 分析在早期乳腺癌患者中应用整形保乳术的效果及对乳房美观度的影响。方法 选取长沙市 第一医院2021年8月-2023年8月收治的72例早期乳腺癌患者为研究对象，通过随机数字表法分为参照组 和研究组，每组36例。参照组予以常规保乳术，研究组予以整形保乳术，比较两组围手术指标、血 清肿瘤标志物、乳房美观度、并发症发生情况及生活质量。结果 研究组手术用时长于参照组，切除 组织与乳房体积比大于参照组，术中出血量、术后引流量低于参照组，引流管摘除时间、住院天数短于 参照组（P ＜0.05）；研究组治疗后VEGF、TPS及CA125水平均优于参照组（P ＜0.05）；研究组乳房美 观度优良率为97.22%，高于参照组的77.78%（P ＜0.05）；研究组并发症发生率为2.78%，低于参照组的 19.44%（P＜0.05）；研究组治疗后心理领域、生理领域、环境领域和精神健康评分均高于参照组（P＜0.05）。 结论 对早期乳腺癌患者行整形保乳术治疗的效果良好，可有效提高术后乳房美观度，改善手术指标及血清肿 瘤标志物，有利于降低并发症发生几率，加快术后康复速度，促进患者生活质量提升，值得临床应用。
Objective To analyze the effect of plastic breast conserving surgery in patients with early breast cancer and its influence on breast aesthetics. Methods A total of 72 patients with early breast cancer admitted to the First Hospital of Changsha from August 2021 to August 2023 were selected as the research objects. They were divided into reference group and study group by random number table method, with 36 patients in each group. The reference group was given routine breast conserving surgery, and the study group was given plastic breast conserving surgery. The perioperative indexes, serum tumor markers, breast aesthetics, complications and quality of life were compared between the two groups. Results The operation time of the study group was longer than that of the reference group, the volume ratio of resected tissue to breast was larger than that of the reference group, the intraoperative blood loss and postoperative drainage volume were lower than those of the reference group, the drainage tube removal time and hospitalization days were shorter than those of the reference group (P <0.05). After treatment, the levels of VEGF, TPS and CA125 in the study group were better than those in the reference group (P <0.05). The excellent and good rate of breast aesthetics in the study group was 97.22%, which was higher than 77.78% in the reference group (P <0.05). The incidence of complications in the study group was 2.78%, which was lower than 19.44% in the reference group (P <0.05). After treatment, the scores of psychological field, physiological field, environmental field and mental health in the study group were higher than those in the reference group (P <0.05). Conclusion The effect of plastic breast conserving surgery for patients with early breast cancer is good, which can effectively improve the postoperative breast aesthetics, improve the surgical indicators and serum tumor markers, help to reduce the incidence of complications, speed up postoperative rehabilitation, and promote the quality of life of patients. It is worthy of c linical application.
张斯琦.整形保乳术对早期乳腺癌患者乳房美观度的影响[J].医学美学美容,2024,33(21):146-149.
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