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[1]李雙齊,李航,張勁帆,等.乳房象限切除聯(lián)合胸背動脈穿支皮瓣在T2期乳腺癌保乳重建中的應(yīng)用[J].福建醫(yī)藥雜志,2023,45(03):9-12.
　LI Shuangqi,LI Hang,ZHANG Jinfan,et al.Application of quadrant mastectomy combined with thoracodorsal artery perforator flap inbreast-conserving reconstruction of T2 breast cancer[J].FUJIAN MEDICAL JOURNAL,2023,45(03):9-12.
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乳房象限切除聯(lián)合胸背動脈穿支皮瓣在T2期乳腺癌保乳重建中的應(yīng)用()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
45
期數(shù):
2023年03期
頁碼:
9-12
欄目:
臨床研究
出版日期:
2023-06-15

文章信息/Info

Title:
Application of quadrant mastectomy combined with thoracodorsal artery perforator flap inbreast-conserving reconstruction of T2 breast cancer
文章編號:
1002-2600(2023)03-0009-04
作者:
李雙齊; 李航; 張勁帆; 林力生
莆田學(xué)院附屬醫(yī)院乳腺外科(莆田 351100)
Author(s):
LI Shuangqi;  LI Hang;  ZHANG Jinfan;  LIN Lisheng
Department of Breast Surgery, Affiliated Hospital of Putian University, Putian, Fujian 351100, China
關(guān)鍵詞:
乳房象限切除;  胸背動脈穿支皮瓣;  保乳手術(shù)
Keywords:
quadrant breast resection;  thoracodorsal artery perforator flap;  breast-conserving surgery
分類號:
R737.9
文獻標志碼:
B
摘要:
目的 探討乳房象限切除聯(lián)合胸背動脈穿支皮瓣在T2期乳腺癌保乳治療中的安全性及應(yīng)用效果。方法 收集我院2019年1月至2020年12月T2期乳腺癌患者26例,通過乳房象限切除術(shù)進行保乳手術(shù),并聯(lián)合胸背動脈穿支皮瓣修復(fù)保乳后乳房缺損,觀察療效及并發(fā)癥的發(fā)生情況。結(jié)果 全組均順利完成手術(shù),手術(shù)時間為(172.46±24.51)min,所有患者保乳切緣均為陰性,住院時間為(5.23±0.97)d。術(shù)后有1例受區(qū)脂肪液化,經(jīng)創(chuàng)面處理后愈合良好,并發(fā)癥發(fā)生率為3.85%。術(shù)后隨訪18～36個月,中位隨訪時間26個月,所有患者均未發(fā)生局部復(fù)發(fā)或遠處轉(zhuǎn)移。乳房外形術(shù)后恢復(fù)較好,術(shù)后12個月乳房滿意度Breast-Q評分60.96±13.14,與術(shù)前乳房滿意度Breast-Q評分61.65±12.39比較,差異無統(tǒng)計學(xué)意義(P>0.05)。結(jié)論 乳房象限切除聯(lián)合胸背動脈穿支皮瓣,切緣陽性率和局部復(fù)發(fā)率低,術(shù)后并發(fā)癥少,術(shù)后乳房外形滿意度高,是T2期乳腺癌保乳手術(shù)的良好選擇,該技術(shù)是安全、有效的。
Abstract:
Objective To investigate the safety and efficacy of quadrant mastectomy combined with thoracodorsal artery perforator flap in breast conserving treatment of T2 stage breast cancer. Methods From January 2019 to December 2020, 26 patients with T2 stage breast cancer in our hospital were collected. Breast conserving surgery was performed by quadrant mastectomy, and the breast defect after breast conserving was repaired by combining the thoracodorsal artery perforator flap. The efficacy and complications were observed. Results All patients underwent surgery successfully. The operation time was(172.46±24.51)min. All the patients had negative breast preservation margins.The hospitalization time was(5.23±0.97)d. There was no malformation and seroma in the donor area. After the operation, one patient developed fat liquefaction in the recipient area, and the wound healed well after treatment. The complication rate was 3.85%. All patients were followed up for 18-36 months, with a median follow-up of 26 months. No local recurrence or distant metastasis occurred.The appearance of the breast recovered well after operation, the Breast Satisfaction Break-Q score in 12 months after operation was 60.96±13.14, and the Breast Satisfaction Break-Q score before operation was 61.65±12.39, the difference was not statistically significant(P>0.05). Conclusion Quadrant mastectomy combined with thoracodorsal artery perforator flap is a good choice for breast conserving surgery for stage T2 breast cancer, with low positive rate of incision margin and local recurrence rate, few postoperative complications, and high satisfaction of postoperative breast shape. This technique is safe and effective.

參考文獻/References:

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備注/Memo

備注/Memo:
基金項目:福建省自然科學(xué)基金資助項目(2019J01586)
更新日期/Last Update: 2023-06-15