新月形切口联合腹部推进皮瓣在中-小乳房下极乳腺癌保乳术中的应用效果

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Abstract ObjectiveTo evaluate the application effect of crescent incision combined with abdominal advancement flap in breast conserving surgery for moderate-to small-sized breast cancer.MethodsFrom December 2014 to May 2017,thirty-eight moderate-to-small sized breast patients whose tumor was located in the lower pole of our hospital were included.According to the different application of incision in breast conserving surgery,the patients were divided into the two groups:crescent incision breast conserving group(observation group,n=18)and the inverted T shape incision breast conserving group　(control group,n=20).The breast volume,the tumor diameter,the amount of tissue excised,the proportion of tissue excised amount,the postoperative complications and the cosmetic effect in patients between the two groups were compred.Statistically analyzed was conducted with SPSS 19.0 software.ResultsBreast volume in the observation group was smaller than that of the control group,the proportion of tissue excised amount in the observation group was higher than that of the control group,and there was a statistical difference(P＜0.05).The median follow-up period was 22 months(6-30 months),in the observation group,there was 1 case of local flap ischemia but no necrosis at the early stage.There were 2 cases of local flap ischemic necrosis in the control group,it had no local recurrence and distant metastasis occurred in all the patients.There was no statistical difference in cosmetic effect between the two groups　(P>0.05).Conclusion For breast cancer patients with tumor located in the lower pole,the tumor shaping method of crescent incision combined with abdominal advancement flap applied reasonably can achieve a good aesthetic effect.It is a simple and feasible procedure and it is worthy of promotion.

Key words： Breast cancer Breast-conserving surgery Moderate-to small-sized breasts Crescent incision Abdominal advancement flap

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	Articles by authors
	WANG Xi-yue
	CAO Yin
	CHEN Gui-lin
	YE Hui-rong
	GAO Xue-zhong
	LIN Zheng-quan
	WU Li-hua
	CHEN Li-juan

Cite this article:

WANG Xi-yue,　CAO Yin,　CHEN Gui-lin　, et al. Application effect of crescent incision combined w ith abdom inal advancement flap in breast conserving surgery for moderate-to small-sized breast cancer[J]. 中国当代医药, 2018, 25(17): 75-77.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I17/75

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