月牙形切口在乳腺癌改良根治术中的应用

目的 探讨月牙形切口在乳腺癌改良根治术中的应用效果.方法 分析近10多年129例行乳腺癌改良根治术的乳腺癌患者的临床资料,129例均行乳腺癌改良根治术.随机分为两组:A组,51例,采用月牙形切口;B组,78例,采用Steward横切口.观察患者的切口愈合情况、腋窝淋巴结清扫的数目、肩关节功能恢复满意度.结结果 A组月切口Ⅰ期愈合率90.2%(46/51),B组75.6%(59/78)(P＜0.05);患侧肩关节功能恢复满意度A组96.1%(49/51),B组84.6%(66/78)(P＜0.05).结论 月牙形切口张力低,愈合好,暴露满意,对肩关节的功能影响小,是乳腺癌改良根治术的一种理想切口.

The application of crescent-shaped incision for modified radical mastectomy

Objective:To investigate the effect of crescent-shaped incision for modified radical mastectomy.
Methods:We retrospectively analyzed the clinical data of 129 cases of breast cancer. Modified radical mastectomy was done in all cases, of which, crescent-shaped incision was used in 51 caes (group A) and steward transverse incision was nsed in 78 cases (group B). Postoperatively, incision healing, the number of axillary lymph nodes which were dissected, and the satisfaction rate of shoulder function were observed.
Results:The success rate of wound healing in group A was 90.2% (46/51),and in group B was 75.6%(59/78)(P<0.05). Satisfactory rate of shoulder function in group A was 96.1% (49/51), and in group B was 84.6% (66/78)(P<0.05).
Conclusions:The crescent-shaped incision has low skin tension, good healing outcome, satisfactory exposure of axilla and minimal impairment of shoulder function, and thus is an ideal incision for modified radical mastectomy.