国际肿瘤学杂志
國際腫瘤學雜誌
국제종류학잡지
JOURNAL OF INTERNATIONAL ONCOLOGY
2014年
11期
866-869
,共4页
乳腺肿瘤%乳房切除术,改良根治性
乳腺腫瘤%乳房切除術,改良根治性
유선종류%유방절제술,개량근치성
Breast neoplasms%Mastectomy,modified radical
目的 探讨保留乳头乳晕的改良根治术在乳腺癌治疗中的可行性、肿瘤的根治性和美容效果.方法 选择初治乳腺癌患者96例,其中保留乳头乳晕的改良根治术(NSM)组共35例,改良根治术(MRM)组共61例.对两组患者术后并发症、外观评价、局部复发及远处转移情况进行比较.结果 术后并发症NSM组和MRM组差异无统计学意义(x2=3.140,P=0.061);外观评价NSM组优于MRM组(x2=82.786,P=0.000);随访48～ 84个月,平均随访63个月,两组患者均无局部复发,NSM组发生远处转移2例(5.7％),MRM组远处转移3例(4.9％),两组远处转移率差异无统计学意义(x2=0.029,P=0.866).结论 保留乳头乳晕的改良根治术可以获得与改良根治术相同的治疗效果,术前患者容易接受,术后美容效果好,值得广泛推广.
目的 探討保留乳頭乳暈的改良根治術在乳腺癌治療中的可行性、腫瘤的根治性和美容效果.方法 選擇初治乳腺癌患者96例,其中保留乳頭乳暈的改良根治術(NSM)組共35例,改良根治術(MRM)組共61例.對兩組患者術後併髮癥、外觀評價、跼部複髮及遠處轉移情況進行比較.結果 術後併髮癥NSM組和MRM組差異無統計學意義(x2=3.140,P=0.061);外觀評價NSM組優于MRM組(x2=82.786,P=0.000);隨訪48～ 84箇月,平均隨訪63箇月,兩組患者均無跼部複髮,NSM組髮生遠處轉移2例(5.7％),MRM組遠處轉移3例(4.9％),兩組遠處轉移率差異無統計學意義(x2=0.029,P=0.866).結論 保留乳頭乳暈的改良根治術可以穫得與改良根治術相同的治療效果,術前患者容易接受,術後美容效果好,值得廣汎推廣.
목적 탐토보류유두유훈적개량근치술재유선암치료중적가행성、종류적근치성화미용효과.방법 선택초치유선암환자96례,기중보류유두유훈적개량근치술(NSM)조공35례,개량근치술(MRM)조공61례.대량조환자술후병발증、외관평개、국부복발급원처전이정황진행비교.결과 술후병발증NSM조화MRM조차이무통계학의의(x2=3.140,P=0.061);외관평개NSM조우우MRM조(x2=82.786,P=0.000);수방48～ 84개월,평균수방63개월,량조환자균무국부복발,NSM조발생원처전이2례(5.7％),MRM조원처전이3례(4.9％),량조원처전이솔차이무통계학의의(x2=0.029,P=0.866).결론 보류유두유훈적개량근치술가이획득여개량근치술상동적치료효과,술전환자용역접수,술후미용효과호,치득엄범추엄.
Objective To investigate the clinical efficacy,curative effects and cosmetic results of nipple-sparing modified radical mastectomy (NSM) in the treatment of breast cancer.Methods Ninety-six patients who received initial therapy in Linyi Cancer Hospital from January 1,2007 to January 1,2010 were selected.Among them,35 patients undergoing NSM were chosen as NSM group,61 patients undergoing modified radical mastectomy (MRM) were chosen as MRM group.The postoperative complications,aesthetic assessment,local recurrence and distant metastasis of the two groups were compared.Results In postoperative complications,the difference of the two groups had no statistical significance (x2 =3.140,P =0.061).NSM group was better than MRM group in aesthetic evaluation (x2 =82.786,P =0.000).Follow-up was obtained in all patients with range of 48 to 84 months and 63 months in average.Neither of them had local recurrence.Two patients(5.7％) in NSM group and three patients(4.9％) in MRM group developed distant metastasis.The incidents of distant metastasis had no statistically significant difference (x2 =0.029,P =0.866).Conclusion NSM can obtain the same therapeutic effect as MRM,and is easily accepted by patients before operation and has the better aesthetic assessment after operation.NSM is worth spreading widely.
