乳腺癌术后三平面技术乳房假体重建的临床效果分析
Clinical Value of Tri-Plane Technique in Breast Prosthesis Reconstruction After Breast Cancer Surgery
杨晓娟 1王文欢 1邹洁雅 1王佶 1杨庄青1
作者信息
- 1. 云南省肿瘤医院,昆明医科大学第三附属医院,云南昆明 650118
- 折叠
摘要
[目的]探究三平面技术在乳腺癌根治术后乳房假体重建中的临床价值.[方法]回顾性总结分析云南省肿瘤医院乳腺中心进行的46例乳腺癌根治性术后的乳房假体重建的病例,其中,三平面技术乳房假体植入24例,双平面技术乳房假体植入22例.[结果]双平面技术组患者术后拔管平均时间为(8.2±1.5)d.三平面技术组术后拔管平均时间为(10.3±2.4)d(t=3.366,P=0.002).三平面技术组乳房重建的客观评价优良率优于双平面技术组(79.17％vs 50.00％,x2=3.564,P=0.04).术后随访1年期间,均未出现乳腺癌局部复发、远处转移和死亡的情况.[结论]三平面技术利用人体自身组织包裹假体,降低了乳房假体重建的相关并发症,在患者的主观满意度和乳房的外观客观评价上要优于传统的双平面技术,同时节省了生物补片的昂贵费用,值得临床推广应用.
Abstract
[Objective]To explore the clinical value of the tri-plane technique in breast recon-struction after radical surgery for breast cancer.[Methods]Clinical data of 46 patients who un-derwent breast prosthesis reconstruction after radical surgery for breast cancer in the Breast Center of Yunnan Cancer Hospital from October 2019 to October 2022 were retrospectively analyzed,in-cluding 24 cases with tri-plane breast prosthesis implantation and 22 cases with bi-plane breast prosthesis implantation.[Results]The average postoperative extubation time for patients was(8.2± 1.5)d in the bi-plane group and(10.3±2.4)d in the tri-plane group(t=3.366,P=0.002).The subjective satisfaction of breast reconstruction in the tri-plane group were better than that in the bi-plane group(79.19％vs 50.00％,x2=3.564,P=0.04).During the one-year postoperative follow-up period,no case was found with local recurrence,distant metastasis and death from breast can-cer.[Conclusion]Compared to traditional bi-plane technique,the tri-plane technique for breast prosthesis reconstruction has better patient satisfaction and objective appearance,with less com-plication and medical cost,which is worthy of clinical promotion and application.
关键词
乳腺癌/乳房假体/乳房重建/三平面技术Key words
breast cancer/breast prosthesis/breast reconstruction/tri-plane technique引用本文复制引用
基金项目
吴阶平医学基金会临床科研专项(320.6750.2023-18-98)
出版年
2024
NETL
NSTL
万方数据