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目的评价两种乳腺癌根治保留乳房术式的美容效果和近期疗效。方法40例早期乳腺癌患者中,行保留乳头乳晕复合体(NAC)乳腺癌根治术一期假体植入再造(A组)22例,行保留乳房的乳腺癌根治术(B组)18例,比较两组术后美容效果的优良率,随访术后复发转移情况。结果两组间患者年龄、病理性质、临床分期相似(P>0.05),术后美容效果优良率A组优于B组(P<0.05),复发转移无显著差异(P>0.05)。结论乳腺癌保留NAC改良根治术一期假体植入乳房再造术与保乳根治术相比疗效相当,乳房再造更适合中国人群。
Objective To evaluate the cosmetic effect and the short-term curative effect of two breast cancer radical mastectomy methods. Methods Forty patients with early breast cancer underwent radical mastectomy with nipple areola complex (NAC) undergoing radical mastectomy (group A), and 22 underwent radical mastectomy (group B) with breast conserving . The excellent rate of postoperative cosmetic effect and the recurrence and metastasis were compared between the two groups. Results The age, histopathology and clinical stage of the patients in both groups were similar (P> 0.05). The excellent postoperative cosmetic effect was better in group A than in group B (P <0.05), and no significant difference was found in recurrence and metastasis (P> 0.05). Conclusion Breast conservatism NAC modified radical mastectomy implants breast implants surgery and breast conserving radical resection compared to the efficacy of breast reconstruction is more suitable for the Chinese population.