不同切緣寬度在乳腺癌保乳手術中的療效及美容效果分析

[摘要] 目的 研究不同切緣寬度在乳腺癌保乳手術中的療效及美容效果。方法 方便選擇2011年3月—2015年3月該醫(yī)院收治的乳腺癌患者84例，隨機分為觀察組和對照組，每組患者42例。觀察組患者取2 cm切緣寬度進行乳腺癌保乳手術，對照組患者取3 cm切緣寬度進行乳腺癌保乳手術，對比兩組患者的手術效果及乳房美容效果。結果 觀察組患者危險因素陽性比例為23.81%，高于對照組患者的4.76%，差異有統(tǒng)計學意義（P<0.05）；觀察組和對照組患者遠處轉移率、局部復發(fā)率、2年期生存率分別為11.90%和16.67%、7.14%和11.90%、95.25%和92.86%，差異無統(tǒng)計學意義（P>0.05）；觀察組患者術后乳房美容優(yōu)良率為73.81%，高于對照組患者的47.62%，差異有統(tǒng)計學意義（P<0.05）。結論 2 cm切緣寬度和3 cm切緣寬度的乳腺癌保乳手術療效較為相近，2 cm切緣寬度手術后乳房美容效果更為理想。

[關鍵詞] 切緣寬度；乳腺癌；保乳手術；療效；美容效果

[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0043-03

[Abstract] Objective To study the different cutting edge width preserving efficacy and cosmetic effect of breast conserving surgery in breast cancer. Methods Convenient selection from March 2011 to March 2015 the hospital treated 84 cases of breast cancer patients， were randomly divided into observation group and control group， 42 cases in each group. The patients in the observation group were 2 cm margin width for breast cancer breast conserving surgery， patients in the control group were 3 cm margin width of breast conserving surgery， compared two groups of patients with surgery and breast cosmetic effect. Results The patients in the observation group were risk factors of positive ratio was 23.81%， 4.76% higher than the control group， the difference was statistically significant（P < 0.05）； the observation group and the control group in patients with distant metastasis rate， local recurrence rate， 2 year survival rates were 11.90% and 16.67%， 7.14% and 11.90%， 95.25% and 92.86%， the difference was not statistically significant（P > 0.05）； the patients in the observation group after breast cosmetic excellent rate of 73.81%， higher than the control group in 47.62%， the difference was statistically significant （P < 0.05）. Conclusion 2 cm margin width and 3 cm margin width breast conserving surgery curative effect is similar， 2 cm margin width after surgery breast beauty The effect is more ideal.

[Key words] Cutting edge width； Breast cancer； Breast conserving surgery； Curative effect； Cosmetic effect

在女性腫瘤疾病當中，乳腺癌是一種十分常見的惡性腫瘤，對患者的身體健康及生命安全都造成了較為嚴重的威脅。在臨床上，通常采用保乳手術的方法，對早期乳腺癌進行治療，控制病情的發(fā)展。隨著社會經(jīng)濟的發(fā)展，人們對于生活質量、生活水平的要求越來越高，因而很多女性希望能夠在治愈疾病的同時，也能夠保持美好靚麗的形象。所以，在乳腺癌保乳手術中，乳房外形的良好保持也逐漸成為了一項重要的指標。在手術當中，最為重要的就是對切緣寬度的選擇，而不同的切緣寬度會對治療后乳房的美容效果產(chǎn)生影響。……