CAJ | 학술논문

目的：探讨乳腺癌保留乳头改良根治术的可行性以及美容效果。方法采用前瞻性随机对照研究方法，将2011年1月-2012年10月符合入组标准的40例乳腺癌患者随机分两组，研究组20例行乳腺癌保留乳头改良根治术，对照组20例行乳腺癌改良根治术，比较两组手术时间、术中出血量、术后引流量、并发症、肿瘤复发情况以及术后美容效果。结果两组手术时间、术中出血量、术后引流量、并发症比较差异无统计学意义(P>0.05)；研究组20例保留乳头均成活，手术医生对乳房美容效果评价满意率80%（16/20）；患者对胸部外形满意度的自我评分研究组明显优于对照组，差异有显著性统计学意义（P<0.01）；两组患者随访12-33个月均无复发病例。结论乳腺癌保留乳头改良根治术安全可行，较传统改良根治术具有更佳的美容效果。
목적：탐토유선암보류유두개량근치술적가행성이급미용효과。방법채용전첨성수궤대조연구방법，장2011년1월-2012년10월부합입조표준적40례유선암환자수궤분량조，연구조20례행유선암보류유두개량근치술，대조조20례행유선암개량근치술，비교량조수술시간、술중출혈량、술후인류량、병발증、종류복발정황이급술후미용효과。결과량조수술시간、술중출혈량、술후인류량、병발증비교차이무통계학의의(P>0.05)；연구조20례보류유두균성활，수술의생대유방미용효과평개만의솔80%（16/20）；환자대흉부외형만의도적자아평분연구조명현우우대조조，차이유현저성통계학의의（P<0.01）；량조환자수방12-33개월균무복발병례。결론유선암보류유두개량근치술안전가행，교전통개량근치술구유경가적미용효과。
Objective To explore the feasibility and cosmetic effect of nipple-preserving modified radical mastectomy. Meth-ods By the method of prospective randomized comparison study,from January 2011 to October 2012,40 patients with breast can-cer were randomly divided into two groups,20 cases of study group accepted nipple-preserving modified radical mastectomy, 20 cases of control group accepted modified radical mastectomy. Then compare the two groups’ operative duration,blood loss, postop-erative flow rate,complications,local recurrence rate and cosmetic effect. Results Between the study group and control group,op-erative duration,blood loss,postoperative flow rate and complications of patients were all no statistical significance (P>0.05);Study group of 20 patients nipple preserving were all survived,the satisfaction rate assessed by operation doctors was 80%(16/20);Obvi-ously,compared with the control group,the patients in the study group had better self-assessment of breast shape,the difference was statistical significance(P<0.01). The two groups of patients were followed up for 12 months-33months,neither with any recur-rence case. Conclusion Nipple-preserving modified radical mastectomy is safe and feasible,which has better cosmetic effect than mastectomy.