摘要
目的探讨术前分析胸廓类型和对称性,对即刻假体乳房重建术乳腺癌患者治疗效果的影响。方法2018年1—10月,青岛大学附属医院乳腺中心对30例行即刻假体乳房重建的单侧乳腺癌女性患者,年龄33~48(39.6±4.6)岁,用胸部CT进行胸廓类型和对称性分析,测量指标包括胸廓最大横径、左右侧最大纵径、左右侧最大横纵径比值、左右侧前胸角、后胸角、外胸角。结果30例患者均顺利痊愈,无1例出现感染、假体取出等并发症。22例患者选择解剖型假体,其中中高突假体12例,低突假体10例;8例患者选择圆形低凸假体。术后平均随访15个月,BREAST-Q问卷量表和3名非手术医师对术后随访照片进行美学评估,其中优22例、良4例、及格3例、差1例;优良率86.7%。及格3例中1例为局部切口瘢痕增生,2例为轻度包膜挛缩;差1例为假体移位。结论术前对胸廓类型和对称性进行测量分析能够对所选假体进行调整,排查胸廓畸形避免对手术结果产生不利影响。
ObjectiveTo explore and analyze the influence of thoracic types and symmetry methods on the treatment effect before operation for the breast cancer patients undergoing immediate breast reconstruction.MethodsFrom January to October 2018, 30 female patients with unilateral breast cancer, aged 33-48 (39.6±4.6) years, were treated in the Breast Center of Qingdao University Affiliated Hospital. Thoracic CT was used to analyze thoracic types and symmetry. The measurement indexes included the maximum transverse diameter of thorax, the maximum longitudinal diameter of left and right sides, the ratio of the maximum transverse longitudinal diameter of left and right sides, the anterior chest angle of left and right sides, the posterior chest angle and the external chest angle, and the type and symmetry of thorax were analyzed, and the choice of prosthesis was adjusted according to the measurement results.ResultsAll the 30 patients recovered smoothly, and no complications such as infection and prosthesis removal occurred. Anatomical prostheses were selected in 22 patients, including 12 cases with medium high protrusion prosthesis, 10 cases with low protrusion prosthesis and 8 cases with round low protrusion prosthesis. The average follow-up time was 15 months after operation. The postoperative follow-up photos were evaluated aesthetically by using the BRAST-Q questionnaire and 3 non-operative doctors, among which 22 cases were excellent, 4 cases were good, 3 cases passed and 1 case was poor. Excellent and good rate was 86.7%. Among them, 3 cases were satisfactory, 1 case was scar hyperplasia of local incision, 2 cases were mild capsular contracture, and 1 case was subject to prosthesis displacement.ConclusionsThe measurement and analysis of thoracic type and symmetry before operation can help to adjust the choice of prosthesis, check the obvious thoracic deformity and avoid affecting the surgical results.
作者
牛兆河
郭晓静
王海波
Niu Zhaohe;Guo Xiaojing;Wang Haibo(Breast Disease Center,Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Reproductive Medicine,Affiliated Hospital of Qingdao University,Qingdao 266000,China)
出处
《中华医学美学美容杂志》
2021年第4期297-300,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
乳腺肿瘤
乳房成形术
即刻假体乳房重建
胸廓类型
对称性
Breast neoplasms
Mammaplasty
Immediate prosthetic breast reconstruction
Thoracic type
Symmetry
