Comparison of Cosmetic Effect and Survival Prognosis Between Plastic Breast Conserving Surgery and Conventional Breast Conserving Surgery in Early Breast Cancer Patients
Objective To compare the differences in effectiveness between plastic breast con-serving surgery and conventional breast conserving surgery.Methods 62 patients diagnosed with early breast cancer were selected from Xinyang Central Hospital.According to the different sur-gical methods,30 cases were divided into the plastic surgery group(using plastic breast con-serving surgery)and 32 cases were divided into the conventional group(using conventional breast conserving surgery).The perioperative related indicators,serum tumor markers before and 3 months after surgery,cosmetic effects,incidence of complications,and one-year survival rate were compared between the two groups.Result Compared with the conventional group,the plastic surgery group had significantly longer surgical time,minimum distance between tumor and cutting edge(P<0.05),significantly higher resection tissue/breast volume ratio(P<0.05),significantly less intraoperative bleeding and postoperative drainage volume(P<0.05),and significantly shorter drainage tube removal time and hospital stay(P<0.05).Three months after surgery,the serum VECF,TPS,and CA125 levels in both groups decreased compared to before surgery,but there was no statistically significant difference between the plastic surgery group and the conventional group(P>0.05).The excellent and good cosmetic rate in the plastic surgery group was 96.67%,which was significantly higher than 78.13%in the conventional group(P<0.05).The incidence of complications in the plastic surgery group was 6.67%,which was significantly lower than the 28.13%in the conventional group(P<0.05).Kaplan Meier curve analysis showed that 29 patients in the plastic surgery group survived with a survival rate of 96.67%,while 31 patients in the conventional group survived with a survival rate of 96.87%.There was no statistically significant difference in the survival rates between the two groups(χ2 =0.001,P= 0.973).Conclusion Compared with conventional breast conserving surgery,plastic breast conserving surgery applied to early breast cancer can improve the cosmetic effect,re-duce complications and promote rapid recovery of patients.
Breast cancerBreast conserving surgeryPlastic surgeryBeautyprognosis
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