充气法单孔腔镜保留乳房手术在早期乳腺癌治疗中的应用
Single-port endoscopic breast-conserving surgery for early breast cancer
查看参考文献21篇
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文摘
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目的探讨充气法单孔腔镜保留乳房(简称保乳)手术在早期乳腺癌治疗中的应用。方法回顾性分析2017年5月至2018年11月在首都医科大学附属北京友谊医院诊断为Ⅰ、Ⅱ期乳腺癌且行保乳手术的102例患者临床资料,其中行单孔法腔镜保乳手术者48例(腔镜组),行开放保乳手术者54例(开放组),对患者的手术时间、美容效果、并发症及复发情况进行评估。2组患者间手术时间、美容效果的比较采用两独立样本的t检验。结果102例患者均成功完成相应单孔法腔镜保乳或开放保乳手术,其中腔镜组手术时间为(184.2±76.2) min,开放组手术时间为(127.8±68.4) min,2组相比,差异有统计学意义(t = 3.923,P<0.001) 。术后2个月进行美容效果评估:腔镜组美容效果评分明显高于开放组[(11.2±0.8)分比(9.1±0.9)分,t = 6.407,P<0.001]。2组患者术后均无皮肤坏死、活动性出血、感染等并发症。中位随访时间11.2个月,2组患者均无局部复发或远处转移病例。结论充气法单孔腔镜保乳手术在保证早期乳腺癌肿瘤根治性的同时,可以较开放保乳手术获得更好的美容效果。 |
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其他语种文摘
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Objective To explore the application of the single-port endoscopic breast-conserving surgery in the treatment of early breast cancer. Methods The clinical data of 102 patients with stage I and II breast cancer who underwent breast-conserving surgery in the Beijing Friendship Hospital,Capital Medical University from May 2017 to November 2018 were retrospectively analyzed. Among them,48 patients underwent single-port endoscopic breast-conserving surgery (endoscopic surgery group) and 54 patients received open breast-conserving surgery (open surgery group). The operative time,cosmetic effect,complications and recurrence were assessed. The t test of two independent samples was used to compare the operation time and cosmetic effect between the two groups. Results All 102 patients had successfully completed the surgery. The operative time in the endoscopic surgery group was (184.2 ±76.2) min,significantly longer than (127.8 ± 68.4) min in the open surgery group (t = 3.923,P< 0.001). The cosmetic evaluation at postoperative two months showed that the score of cosmetic effect in the endoscopic surgery group was significantly higher than that in the open surgery group (11.2±0.8 vs 9.1±0.9,t = 6.407,P<0.001). There was no skin necrosis, active bleeding and infection in both groups. The median follow-up was 11.2 months. There was no local recurrence or distant metastasis in both groups. Conclusion The single-port endoscopic breast-conserving surgery can guarantee the radical resection of early breast cancer,and obtain better cosmetic effect compared with open breast-conserving surgery. |
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来源
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中华乳腺病杂志（电子版）
,2020,14(4):228-233 【扩展库】
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DOI
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10.3877/cma.j.issn.1674-0807.2020.04.006
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关键词
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乳腺肿瘤
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内窥镜检查
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乳房切除术
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地址
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首都医科大学附属北京友谊医院普通外科, 100050
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首都医科大学附属北京中医医院乳腺科, 100010
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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1674-0807 |
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学科
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肿瘤学 |
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文献收藏号
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CSCD:6813503
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