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目的:探讨乳腺癌保乳手术中采用残留腺体转位整形法应用的可行性,并评估其美学效果。方法:对2009年10月—2011年11月收治的47例肿瘤直径≤3 cm的乳腺癌患者行保乳手术,其中36例采用残留腺体转位整形法(观察组),11例仅直接缝合皮肤(对照组),分别评估两组患者的术后及放疗后的美学效果。结果:全部患者随访9～33个月,中位随访时间21个月,无1例复发及转移。术后3个月,观察组与对照组达到优或良美学效果的分别为31例(86.1%)和8例(72.7%),两组差异无统计学意义(P>0.05);放疗后3个月,观察组与对照组在放疗后达到优或良美学效果的分别为30例(83.3%)和6例(54.5%),观察组的美学效果优于对照组,差异有统计学意义(χ2=3.895,P<0.05)。结论:对于肿瘤直径≤3 cm的乳腺癌患者,采用残留腺体转位整形法是一种简单、有效、创伤小、术后乳房美学效果满意的方法。
Objective: To investigate the feasibility of applying residual gland transposition and shaping in breast conserving surgery and to evaluate its aesthetic effect. Methods: Forty-seven breast cancer patients with tumor diameter ≤3 cm were treated from October 2009 to November 2011. Of the 36 cases, breast conserving surgery was performed in 36 cases with residual gland transposition and plastic surgery (observation group), and 11 cases were directly Suture the skin (control group), respectively, to assess the two groups of patients after surgery and radiotherapy after the aesthetics. Results: All patients were followed up for 9 to 33 months. The median follow-up time was 21 months. There was no recurrence and metastasis in all patients. Three months after operation, there were 31 cases (86.1%) and 8 cases (72.7%) in the observation group and the control group, respectively. There was no significant difference between the two groups (P> 0.05) Month, the observation group and control group achieved excellent or good aesthetics effect after radiotherapy, respectively, 30 cases (83.3%) and 6 cases (54.5%), the observation group’s aesthetic effect is better than the control group, the difference was statistically significant ( χ2 = 3.895, P <0.05). CONCLUSION: Residual gland transposition and plastic surgery is a simple, effective and less invasive method for breast cancer patients with tumor diameter less than 3 cm. Satisfactory breast aesthetic results are obtained.