Effect evaluation of immediate reconstruction and delayed reconstruction in breast cancer modified radical mastectomy
WANG Zhigang1,2 LEI Zehua1 QIAO Zhengrong3 LI Yuanping1
1.Department of Thyroid and Breast Surgery, Leshan People′s Hospital, Sichuan Province, Leshan 614000, China;
2.Department of General Surgery, Emeishan Foguang Hospital, Sichuan Province, Emei 614200, China;
3.Department of Vascular Surgery Chongqing Eighth People′s Hospital, Chongqing 404100, China
Abstract：Objective To compare the effect of immediate breast reconstruction and postoperative reconstruction in breast cancer patients. Methods From January 2014 to February 2017, in Leshan People's Hospital, Emeishan Foguang Hospital and Chongqing Eighth People′s Hospital, 62 female patients with radical mastectomy were selected, according to the list of simple digital method, they were divided into observation group and control group, with 31 cases in each group. In the observation group, the reconstruction of breast cancer was performed immediately. The control group delayed breast reconstruction after radical surgery. The operation time, length of hospitalization, intraoperative blood loss and complication rate were observed in the two groups. After 1 year follow-up, the treat excellent rate, postoperative complications, postoperative SF-36 life quality score in two groups were observed. Results There was no statistically significant difference between the two groups in operation time, length of hospital stay, intraoperative blood loss and complication rate (P > 0.05). After 1 year of postoperative follow-up, the treatment excellent rate, surgical satisfaction rate, SF-36 life quality score in the observation group were higher than the control group, the differences were statistically significant (P < 0.05). The postoperative complications in the two groups was compared, the difference was not statistically significant (P > 0.05). Conclusion Immediate breast reconstruction can improve the treatment satisfaction of patients after radical mastectomy, improve the quality of life of patients, and not increase surgical complications, it can be widely used in clinical.
王志刚1,2 雷泽华1 乔正荣3 李远平1. 乳腺癌改良根治术中乳房即刻重建与延期重建的效果评价[J]. 中国医药导报, 2018, 15(26): 81-84.
WANG Zhigang1,2 LEI Zehua1 QIAO Zhengrong3 LI Yuanping1. Effect evaluation of immediate reconstruction and delayed reconstruction in breast cancer modified radical mastectomy. 中国医药导报, 2018, 15(26): 81-84.
[1] 柯文,耿峰.乳腺癌超声诊断技术的研究进展[J].海军医学杂，2013，34（6）：429-431.
[2] 柴凡，赵庆丽，张锋军，等.乳腺癌保留乳房手术联合术中放射治疗60例近期疗效观察[J].中华乳腺病杂志：电子版，2017，11（1）：13-18.
[3] 王立兵，冯亮，何静，等.乳腺癌患者腋窝淋巴结清扫术中保留肋间臂神经的临床意义[J].中华乳腺病杂志，2015， 29（4）：236-241.
[4] 刘岩，穆籣，李广学，等.乳房再造同期行对侧乳房对称性整形手术的初步探讨[J].中国修复重建外科杂志，2016， 30（10）：1253-1257.
[5] 张晓永.即刻乳房再造在乳腺癌治疗中的应用[J].中国农村卫生，2014，7（13）：94.
[6] Morrow M，Strom EA，Bassett LW，et al. Standard for breast conservation therapy in the management of invasive breast carcinoma [J]. CA Cancer J Clin，2002，52（5）：277-300.
[7] 王文尖，覃世运，陈丽君.低分割放射治疗对早期乳腺癌保留乳房手术后患者的疗效和安全性评价[J].中华乳腺病杂志：电子版，2017，11（4）：213-217.
[8] Treanor C，Donnelly M. A methodological review of the Short Form Health Survey 36（SF-36）and its derivatives among breast cancer survivors [J]. Qual Life Res，2015，24（2）：339-362.
[9] Yip CH，Taib NA，Choo W. Clinical and pathologic between BRCA1-，BRCA2-，and non-BRCA-associated breast cancer in a multiracial developing country [J]. World J Sur，2012，1（10）：78-79.
[10] 孙永强，杨雯雯，梁文军.保留乳头乳晕的乳腺癌改良根治术23例分析[J].中华实用诊断与治疗杂志，2012， 26（2）：188-189.
[11] 中华医学会肿瘤学分会乳腺癌学组.乳腺癌荧光示踪前哨淋巴结活组织检查操作指南[J].中华乳腺病杂志：电子版，2017，11（4）：193-197.
[12] 李天石，何君君，胡华新.乳腺癌根治术后即刻与延期乳房再造术的临床比较[J].中国实用医药，2015，10（15）：30-31.
[13] 郑波.乳腺癌改良根治术常见并发症原因分析及预防对策[J].中国实用医药，2014，9（3）：55-56.
[14] National Comprehensive Cancer Network. Distress management clinical practice guidelines [J]. J Natl Compr Canc Netw，2003，1（3）：344-374.
[15] Sun Y，Kim SW，Heo CY，et al.Comparison of quality of life based on surgical technique in patients with breast cancer [J]. Jpn J Clin Oncol，2014，44 （1）：22-27.
[16] 潘驰，张亚男.不同手术方式对乳腺癌患者术后生活质量的影响[J].中华乳腺病杂志：电子版，2015，9（4）：280-284.
[17] 张保宁.乳腺癌手术的乳房修复与重建[J].癌症进展，2013，11（5）：389-391.
[18] Li J，Zhang BN，Fan JH，et al. A nation-wide multieenter 10-year （1999- 2008 ） retrospective clinical epidemiological study of female breast cancer in China [J]. BMC Cancer，2011，22（11）：364-374.
[19] Fitoussi AD，Berry MG，Fama F，et al. Oncoplastic breast surgery for cancer：analysis of 540 consecutive cases [J]. Plast Reconstr Surg，2010，125（2）：454-462.
[20] Acil H，Cavdar I. Comparison of quality of life of turkish breast cancer patients receiving breast conserv in g surgery or modified radical mastectomy [J]. Asian Pac J Cancer Prev，2014，15（13）：5377-5381.
[21] Cocquyt VF，Blondeel PN，Depypere HT，et al. Better cosmetic results and com parable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment [J]. Br J Plast Surg，2003，56（5）：462-470.
[22] 孙立，高海燕，朱玉兰，等.乳腺癌术后即刻乳房重建30例临床研究[J].实用临床医药杂志，2014，18（16）：96-98.
[23] 韩思源，敖嫩，李荷欢，等.乳房再造在乳腺癌综合治疗中的随访研究[J].中国美容整形外科杂志，2013，24（10）：603-606.
[24] 程永刚，李有怀，佘青，等.乳房再造时机和阶段对乳腺癌患者体象和生活质量的影响[J].海南医学，2016，28（9）：1441-1444.
[25] 马传栋，步晓秋，王忠锐.乳腺癌改良根治术后乳糜漏一例[J].中华乳腺病杂志：电子版：2017，11（3）：191.
[26] 贾敏，肖光雄.腋窝周围组织瓣在乳腺癌腋窝淋巴结清扫术中的应用[J].中华乳腺病杂志：电子版，2017，11（4）：208-212.
2018, Vol. 15 
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