不同皮瓣用于外侧象限乳腺癌保乳术中的效果比较

目的比较不同皮瓣在外侧象限乳腺癌保乳术中的临床效果。 方法收集2014年6月至2016年12月行外侧象限乳腺癌保乳术的74例乳腺癌患者的临床资料进行回顾性分析。将外侧象限乳腺癌保乳术中应用背阔肌肌皮瓣转移术的乳腺癌患者纳入A组,共36例;将外侧象限乳腺癌保乳术中应用侧胸壁脂肪筋膜肌肉皮瓣转移术的乳腺癌患者纳入B组,共38例。所有数据均采用SPSS 20.0统计软件进行分析,术中术后相关指标以( ±s)表示进行独立t检验;术后并发症发生率、乳房外观评价、肿瘤复发率及患者满意度,进行χ²检验,以P<0.05表示差异具有统计学意义。 结果两组患者均顺利完成外侧象限乳腺癌保乳术及皮瓣转移术,且术后无肿瘤复发。A组乳腺癌患者术中出血量较B组显著增多,手术时间明显延长,差异均具有统计学意义(P<0.05);两组患者的住院时间、术后并发症发生情况、术后乳房外观优良率及患者满意度相比,差异均无统计学意义(P>0.05)。 结论两种皮瓣转移术应用于外侧象限乳腺癌保乳术中均安全可靠,临床效果可靠,值得在临床推广应用。

Comparison of the clinical effect of different skin flap combined with the lateral quadrant breast conserving surgery

ObjectiveTo compare the clinical effect of different skin flap combined with the lateral quadrant breast conserving surgery. MethodsThe clinical data of 74 cases of lateral quadrant breast cancer patients treated with breast conserving surgery in our hospital from June 2014 to December 2016 were collected and retrospectively analyzed. 36 cases of quadrant breast cancer patients treatd with latissimus dorsi myocutaneous flap transfer surgery combined with breast conserving surgery were enrolled as A group. 38 cases of quadrant breast cancer patients treated with lateral thoracic fascia flap transfer surgery combined with breast conserving surgery were enrolled as B group. All data were analyzed by SPSS 20.0 statistical software. The intraoperative and postoperative related indicators were presented as ( ±s) and examined by t test. The incidence of postoperative complications, breast appearance evaluation, recurrence rate and the patient satisfaction were compared between two groups by chi square test. ResultsAll patients in the two groups were successfully completed the operation, no cases of tumor recurrence after operation was found. The intraoperative blood loss in the A group was significantly more than that in the B group, the operative time in the A group was significantly longer than that in the B group, all above had statistical difference (P<0.05). There was no statistical difference in the hospital stay, postoperative complications, breast appearance evaluation, recurrence rate and the patient satisfaction (P>0.05). ConclusionBoth the two types of skin flap transfer surgery combined with the lateral quadrant breast conserving surgery are safe and reliable, and has the ideal clinical effect, which is worthy of clinical application.