一种改良拉钩用于悬吊法腔镜下乳房重建的临床分析

doi:10.3969/j.issn.1009-976X.2025.01.006

摘要/Abstract

摘要： 目的探讨悬吊法腔镜下乳房重建与传统开放式乳房重建的临床应用、效果、并发症及患者的满意度。方法选择2019年至2024年在广州医科大学附属肿瘤医院行乳房重建的116例患者,分为悬吊法腔镜下乳房重建（n=60）和开放式乳房重建（n=56）两组,进行回顾性分析。比较两组患者的一般资料和手术切口长度,手术时长,手术出血量,手术并发症（感染、皮缘坏死、假体外漏、乳头乳晕坏死）,对乳房满意度（BREAST-Q评分）的情况。结果悬吊法腔镜下乳房重建的手术时长（178.5±18.2 min vs. 171.0±40.3 min）、术中出血量（47.3±13.3 mL vs. 44.2±17.7 mL）及感染率（1.67% vs. 5.3%）与开放式乳房重建无统计学差异;悬吊法乳房重建的手术切口长度明显短于开放式乳房重建（6.5±0.9 cm vs. 12.8±3.7 cm,P<0.05）;患者的满意度分值更高（82.1±2.5分 vs. 78.4±2.4分,P<0.05）。结论改良拉钩用于悬吊法腔镜下乳房重建的手术较常规乳房重建术安全性高、手术切口长度更短、术后并发症发生率更低,患者的满意度更高。

关键词: 乳腺癌, 腔镜下乳房重建, 术后并发症

Abstract: Objective To investigate the clinical application,effect,complication and satisfaction of patients between endoscopic breast reconstruction with suspension and traditional open breast reconstruction. Methods A total of 116 patients undergoing breast reconstruction in the Cancer Hospital of Guangzhou Medical University from 2019 to 2024 were divided into two groups： suspensory endoscopic breast reconstruction （n=60） and open breast construction （n=56）. The general data and surgical incision length, operation duration, surgical blood loss, surgical complications （infection, skin margin necrosis, prosthesis expose, nipple and areola necrosis）, and breast satisfaction （BREAST-Q score） were compared between the two groups. Results There was no significant difference in the operative time（178.5±18.2 min vs. 171.0±40.3 min）, blood loss（47.3±13.3 ml vs. 44.2±17.7 ml and infection （1.67% vs. 5.3%）, between the two methods. The length of incision was significantly shorter in suspension versus open breast construction （6.5±0.9 cm vs. 12.8±3.7 cm,P<0.05）. The patient satisfaction is higher （82.1±2.5 vs. 78.4±2.4, P<0.05）. Conclusion Endoscopic breast reconstructionwith modified retractor is safe. The surgical incision length is shorter, the incidence of postoperative complications is lower, and the patient satisfaction is higher.

Key words: breast cancer, endoscopic breast reconstruction, postoperative complication

中图分类号:

詹勇涛, 黄婉怡, 敖翔, 夏浩明, 姜明, 李洪胜. 一种改良拉钩用于悬吊法腔镜下乳房重建的临床分析[J]. 岭南现代临床外科, 2025, 25(01): 31-35.

ZHAN Yong-tao, HUANG Wan-yi, AO Xiang, XIA Hao-ming, JIANG Ming, LI Hong-sheng. A clinical research on endoscopic breast reconstruction with modified retractor[J]. Lingnan Modern Clinics In Surgery, 2025, 25(01): 31-35.

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