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乳腺癌术后即刻乳房再造治疗流程及其疗效

龙笑 刘志飞 王晓军 曾昂 张海林 白明 乔群

龙笑, 刘志飞, 王晓军, 曾昂, 张海林, 白明, 乔群. 乳腺癌术后即刻乳房再造治疗流程及其疗效[J]. 协和医学杂志, 2011, 2(1): 65-69. doi: 10.3969/j.issn.1674-9081.2011.01.014
引用本文: 龙笑, 刘志飞, 王晓军, 曾昂, 张海林, 白明, 乔群. 乳腺癌术后即刻乳房再造治疗流程及其疗效[J]. 协和医学杂志, 2011, 2(1): 65-69. doi: 10.3969/j.issn.1674-9081.2011.01.014
Xiao LONG, Zhi-fei LIU, Xiao-jun WANG, Ang ZENG, Hai-lin ZHANG, Ming BAI, Qun QIAO. Protocol of Postmastectomy Immediate Breast Reconstruction for Patients with Breast Cancer and Its Outcomes[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(1): 65-69. doi: 10.3969/j.issn.1674-9081.2011.01.014
Citation: Xiao LONG, Zhi-fei LIU, Xiao-jun WANG, Ang ZENG, Hai-lin ZHANG, Ming BAI, Qun QIAO. Protocol of Postmastectomy Immediate Breast Reconstruction for Patients with Breast Cancer and Its Outcomes[J]. Medical Journal of Peking Union Medical College Hospital, 2011, 2(1): 65-69. doi: 10.3969/j.issn.1674-9081.2011.01.014

乳腺癌术后即刻乳房再造治疗流程及其疗效

doi: 10.3969/j.issn.1674-9081.2011.01.014
详细信息
    通讯作者:

    乔群  电话:010-88068830, E-mail:qq925@hotmail.com

  • 中图分类号: R737.9;R622

Protocol of Postmastectomy Immediate Breast Reconstruction for Patients with Breast Cancer and Its Outcomes

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  • 摘要:   目的  探讨建立乳腺癌切除术后即刻乳房再造合理治疗的临床意义及经济效益。  方法  应用SF-36健康量表对北京协和医院28例单侧乳腺癌术后即刻乳房再造及52例延迟乳房再造患者的健康相关指数进行调查, 并比较两组患者的平均住院费用、住院日、并发症发生率。  结果  术后随访1~5年, 两组患者健康相关指数与健康对照组比较差异无明显统计学意义。即刻再造患者平均总住院费用22 101.13元, 延迟再造22 691.90元(P < 0.05);即刻再造平均总住院日13.44 d, 延迟再造14.35 d(P < 0.05);即刻再造并发症发生率7.14%, 延迟再造7.69%(P>0.05)。  结论  应用合理的即刻乳房再造治疗流程, 能够保证医生在术中应用合理的切口对肿瘤进行最大限度地切除, 同时再造形态良好的乳房, 在减少肿瘤复发的同时获得更加满意的疗效。即刻乳房再造与延迟乳房再造相比, 能够减少平均住院日及住院费用, 并发症发生率无明显升高, 值得推广。
  • 图  1  即刻乳房再造治疗流程

    表  1  乳房再造患者主要住院费用(元)

    表  2  乳房再造患者平均住院日(d)

    表  3  乳房再造患者的并发症(例)

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    [2] Chun YS, Verma K, Rosen H, et al.Implant-based breas reconstruction using acellular dermal matrix and the risk of postoperative complications[J].Plast Reconstr Surg, 2010, 125:429-436. doi:  10.1097/PRS.0b013e3181c82d90
    [3] Bayram Y, Kulahci Y, Irgil C, et al.Skin-reducing subcutaneous mastectomy using a dermal barrier flap and immediate breast reconstruction with an implant:a newsurgical design for reconstruction of early-stage breast cancer[J].Aesthetic Plast Surg, 2010, 34:71-77. doi:  10.1007/s00266-009-9452-7
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    [5] Bezuhly M, Temple C, Sigurdson LJ, et al.Immediate postmastectomy reconstruction is associated with improved breas cancer-specific survival:evidence and new challenges from the surveillance, epidemiology, and end results database[J].Cancer, 2009, 115:4648-4654. doi:  10.1002/cncr.24511
    [6] 邵志敏, 沈镇宙.21世纪乳腺癌治疗进展的展望[J].中国癌症杂志, 2005, 15:405-407. http://2010.cqvip.com/qk/90535X/200505/20309387.html
    [7] Euhus DM.Breast cancer prevention in the 21 st century:defining the challenge[J].Breast J, 2006, 12:97-98. doi:  10.1111/j.1075-122X.2006.00215.x
    [8] Min SY, Kim HY, Jung SY, et al.Oncological safety and quality of life associated with mastectomy and immediate breast reconstruction with a latissimus dorsimyocutaneous flap[J].Breast J, 2010, 16:356-361. http://www.ncbi.nlm.nih.gov/pubmed/20545939
    [9] Lim W, Ko BS, Kim HJ, et al.Oncological safety of skin sparing mastectomy followed by immediate reconstruction for locally advanced breast cancer[J].J Surg Oncol, 2010, 102:39-42. doi:  10.1002/jso.21573
    [10] Giacalone PL, Rathat G, Daures JP, et al.Newconcept for immediate breast reconstruction for invasive cancers:feasibility, oncological safety and esthetic outcome of post-neoadjuvant therapy immediate breast reconstruction versus delayed breast reconstruction:a prospective pilot study[J].Breast Cancer Res Treat, 2010, 122:439-451. doi:  10.1007/s10549-010-0951-7
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出版历程
  • 收稿日期:  2010-09-28
  • 刊出日期:  2011-01-30

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