刘茜茜　张春华　卢芳　程玉萍

[摘要]目的：探討整形性体积易位技术对乳腺癌保乳术后乳房美容效果的影响。方法：选取2016年8月-2018年2月在笔者医院行保乳手术治疗的乳腺癌患者102例，依据随机数字表法将患者分为实验组和对照组，各51例。两组患者均行保乳手术治疗，实验组给予整形性体积易位技术缝合，对照组在肿瘤切除后仅行部分腺体缝合或直接缝合残留腺体。比较两组术后乳房美容效果、患者满意度，术前及术后6个月焦虑、抑郁程度，并记录两组术后并发症发生情况。结果：术后实验组患者乳头水平、乳房高度及乳房外形评分均明显高于对照组，差异有统计学意义（P<0.05）。术后实验组满意度为84.31%，明显高于对照组的54.90%，差异有统计学意义（P<0.05）。与术前比较，术后6个月两组HAMA、HAMD评分均明显降低，且实验组明显低于对照组，差异有统计学意义（P<0.05）。两组术后拔管时间及总并发症发生率比较差异均无统计学意义（P>0.05）。结论：整形性体积易位技术可明显改善乳腺癌患者保乳术后乳房美容效果，提高患者满意度，改善患者不良心理状态，安全有效，建议临床推广使用。

[关键词]整形性体积易位技术;乳腺癌;保乳术;乳房美容;乳房整形

[中图分类号]R737.9    [文献标志码]A    [文章编号]1008-6455（2021）09-0026-03

Influence of Plastic Volume Translocation Technique on Breast Cosmetic Effect after Breast Conserving Surgery in Breast Cancer Patients

LIU Qian-qian1，ZHANG Chun-hua2，LU Fang1，CHENG Yu-ping1

（1.Department of Thyroid and Breast Surgery;2.Department of Nursing，Zhongnan Hospital of Wuhan University，Wuhan 430071， Hubei，China）

Abstract： Objective  To investigate the influence of plastic volume translocation technique on breast cosmetic effect after breast conserving surgery in breast cancer patients. Methods  102 patients with breast cancer who were underwent breast conserving surgery in our hospital from August 2016 to February 2018 were selected and divided into the experiment group and the control group according to the random number table method， 51 cases in each group. Both groups were underwent breast conserving surgery， the experiment group was sutured with plastic volume translocation technique， the control group was only sutured some glands or directly sutured residual glands after tumor resection. The breast cosmetic effect after surgery， satisfaction， the degree of anxiety and depression before surgery and 6 months after surgery were compared between the two groups， the postoperative complications were recorded. Results  The scores of nipple level， breast height and breast shape significantly increased after surgery in the experiment groups were significantly higher than the control group， the differences were statistically significant （P<0.05）. The postoperative satisfaction of the experiment group was 84.31%， which was significantly higher than that of the control group （54.90%， P<0.05）. Compared with preoperation， the scores of HAMA and HAMD significantly decreased 6 months after surgery in two groups （P<0.05）. And the experiment group was significantly lower than the control group （P<0.05）. There was no significant difference in the time of extubation and the incidence of total complications between two groups （P>0.05）. Conclusion  The plastic volume translocation technique can significantly improve the breast cosmetic effect after breast conserving surgery in breast cancer patients， inhance satisfaction of patients， improve bad mental state of patients， which is safe， effective， and recommended to be used in clinic.

Key words： plastic volume translocation technique; breast cancer; breast conserving surgery; breast cosmetic; mammoplasty

乳腺癌是女性发病率高的恶性肿瘤之一，危害性大，且有上升趋势。保乳手术目前仍是乳腺癌患者首选手术方式，其切除范围小，可最大限度地保留女性性征器官，但部分患者术后美容效果不佳[1]，因此，修复肿瘤切除后乳腺缺损，改善乳房美容效果已成为保乳手术面临的焦点问题。由此，乳房肿瘤整形技术如整形性体积易位技术应运而生，重塑完美乳房，消除患者心理缺憾[2-3]。本研究旨在探讨整形性体积易位技术对乳腺癌患者保乳术后乳房美容效果的影响。……