摘要
目的评价乳腺癌术后乳房重建与放射治疗的关系,以及如何选择恰当的乳房再造方法及时机。方法分析2015年6月至2016月3年在我院妇科接受乳腺癌手术的女性患者共80例,分为即刻乳房再造+术后放疗组48例,以及放疗后择期乳房再造组32例。主要的并发症评价指标包括短期和长期并发症,并评价患者的自我外观认可情况,综合评价放疗对乳腺癌患者术后乳房再造的影响。结果患者在放疗后出现皮肤色素沉着、皮肤红肿和损伤,皮肤弹性降低,在放疗结束后6-8个月恢复正常色泽和弹性。两个组患者术后3个月乳房重建早期并发症的发生率差异无统计学意义(P>0.05),有1例局部复发,20例患者出现Ⅱ级包膜挛缩,5例出现Ⅲ级包膜挛缩。患者自评结果为优的有60例,良好的有16例,差的有4例,两组患者之间无显著差异。结论乳腺癌术后进行乳房重建与放射治疗不会出现矛盾,对改善患者的生存质量有较好的帮助。
Objective to evaluate relationship between breast reconstruction and radiotherapy after breast cancer operation,and how to choose right breast reconstruction method and timing.Methods analyze 80 cases breast cancer surgery patients in our hospital from June 2015 to March 2016.Divide them into immediate breast reconstruction+postoperative radiotherapy group(48 cases)and selective breast reconstruction group(32 cases).Main evaluation indexes of complications include short-term and long-term complications,self recognition of patients,and comprehensive evaluation of effect of radiotherapy on breast reconstruction.Results after radiotherapy,patients showed skin pigmentation,redness,swelling and damage,and skin elasticity was reduced.Skin color and elasticity returned to normal 6-8 months after radiotherapy.Early complications incidence of breast reconstruction showed no significant difference between two groups 3 months after operation,(P>0.05).1 case showed local recurrence in,20 cases showed grade II capsular contracture,and 5 cases showed grade III capsular contracture.60 cases had excellent self assessment result,16 cases good and 4 cases poor in self-evaluation,with no significant difference between two groups.Conclusion there is no contradiction between breast reconstruction and radiotherapy after breast cancer operation,which is helpful to improve life quality of patients.
作者
刘天博
王梓行
王博宇
LIU Tian-bo;WANG Zi-hang;WANG Bo-yu(Jilin Cancer Hospital,Changchun,Jilin 130012)
出处
《智慧健康》
2019年第33期151-152,共2页
Smart Healthcare
关键词
乳腺癌
乳房重建
时机
放疗
Breast cancer
Breast reconstruction
Timing
Radiotherapy
