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find Keyword "乳腺癌根治术" 6 results
  • The Application of FishnetLike Stabbing to the Flap of Breast During the Radical Mastectomy for Breast Cancer

    目的探讨皮瓣鱼网式打孔在乳腺癌根治术后创面覆盖中的应用。方法对80例女性乳腺癌患者行乳腺癌根治术或改良根治术,而后在皮瓣上、下缘予以鱼网式打孔,常规缝合创面。结果全部病例均未植皮,有15例在术后2~5天内有皮瓣血供不良,其余65例均无皮瓣坏死,创面愈合良好。结论皮瓣鱼网式打孔可有效地减小皮瓣缝合张力,减少皮瓣坏死的并发症,可应用于乳腺癌根治术的创面覆盖。

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • MODIFIED RADICAL MASTECTOMY (AUCHINCLOSS OPERATION) WITH PRESERVATION OF PECTORAL NERVES FOR BREAST CANCER PATIENT

    Eight patients treated with modified radical mastectomy and fenestration of pectoralis muscle to preserve pectoral, nerves are reported and the practical procedure is introduced. The results indicate that this method can overcome the disadvantage of mastectomy (Auchincloss) in that only dissection of fatty tissue and lymph nodes in the lateral part of axilla is carried out. With fenestration of pectoralis major muscle, not only the pectoral nerves can be perserved but also the fatty tissue and lymph nodes, including of those medial to the pectoralis minor, subclavicular and interpectoral nodes can be dissected. This method almost reached Halsted’s demand and it can be used for stage Ⅰ-Ⅱ, and even stage Ⅲ breast cancer if no infiltration to pectoralis major muscle is found.

    Release date:2016-08-29 03:26 Export PDF Favorites Scan
  • 乳腺癌根治术后二期岛状背阔肌肌皮瓣的乳房再造及腋前皱襞重建

    目的 总结乳腺癌根治术后二期应用岛状背阔肌肌皮瓣加乳房假体行乳房再造术及腋前皱襞重建的手术方法及临床疗效。 方法 2006 年12 月- 2008 年3 月,收治11 例乳腺癌根治术后1 ~ 4 年胸壁严重缺损患者;年龄 27 ~ 49 岁。左侧3 例,右侧8 例。术中采用背阔肌止点离断的岛状背阔肌肌皮瓣旋转替代胸大肌,背阔肌肌瓣切取范围26 cm × 17 cm ~ 31 cm × 20 cm,皮瓣切取范围13 cm × 6 cm ~ 18 cm × 8 cm。于肌瓣后间隙植入乳房假体,背阔肌前上缘固定于腋顶及腋前线填补腋顶空虚并重建腋窝前皱襞。供区直接缝合。 结果 术后再造乳房全部成活,供受区切口均Ⅰ期愈合。11 例均获随访,随访时间3 ~ 14 个月。再造乳房外观自然,手感良好,重建的腋前皱襞与健侧基本对称,腋顶及腋前皱襞凹陷畸形基本纠正。 结论 应用背阔肌止点离断的岛状背阔肌肌皮瓣加乳房假体行乳房再造及腋前皱襞重建是修复乳腺癌根治术后较严重缺损的较好方法之一。

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
  • 弹力绷带联合含银敷料在加速治疗乳腺癌根治术后切口愈合不良中的应用

    目的探讨运用弹力绷带联合含银敷料加速治疗乳腺癌根治术后切口愈合不良的病程及效果。 方法将2012年1月-2014年6月在伤口门诊及换药室治疗的18例术后切口愈合不良患者随机分为试验组和对照组,每组9例。试验组运用弹力绷带联合含银敷料疗法,对照组采用单纯湿性愈合疗法,比较两组的疗效和伤口治疗的医疗费用。 结果试验组平均愈合时间为(16.29±2.67)d,对照组平均愈合时间为(25.77±3.18)d。试验组第7、14天切口评分下降值明显优于对照组,总治疗费用也明显少于对照组。 结论弹力绷带联合含银敷料疗法对缩短乳腺癌根治术后切口愈合不良病程具有显著效果。

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  • MDT discussion of a patient with acute pulmonary thromboembolism after modified radical mastectomy for breast cancer

    ObjectiveTo summarize the treatment measures and experience for one patient with acute pulmonary thromboembolism after modified radical mastectomy for breast cancer. MethodsThe discussion on MDT (multi-disciplinary team) of a breast cancer patient admitted to The First Hospital of Lanzhou University in March 2018 and the results of the discussion on acute pulmonary thromboembolism after operation were summarized. ResultsThis patient had many high risk factors for deep venous thrombosis of the lower extremities, such as obesity, advanced age, hypertension, malignant tumor, and surgical stress. The operative time was about 90 min and the blood loss was 30 mL, without nerve and vascular injuries. Acute pulmonary thromboembolism occurred suddenly on 10 days after operation, which led to heart failure. Eventually, the patient died of the peripheral circulatory insufficiency caused by respiratory failure and heart failure. ConclusionSurgeons should pay great attention to the perioperative management of the patients with many high-risk factors, who may occur acute pulmonary thromboembolism caused by deep venous thrombosis of lower limbs after radical mastectomy.

    Release date:2018-12-13 02:01 Export PDF Favorites Scan
  • Clinical application of endoscopic radical mastectomy for breast cancer combined with total pectoral muscle reconstruction with breast implants

    ObjectiveTo investigate the effectiveness of endoscopic radical mastectomy for breast cancer combined with total pectoral muscle reconstruction with breast implants. Methods The clinical data of 138 female patients with breast cancer who met the selection criteria between April 2019 and December 2023 were retrospectively analyzed. The mean age of the patients was 43.8 years (range, 27-61 years). The maximum diameter of the tumors ranged from 1.00 to 7.10 cm, with an average of 2.70 cm. Pathological examination showed that 108 cases were positive for both estrogen receptor and progesterone receptor, and 40 cases were positive for human epidermal growth factor receptor 2. All patients underwent endoscopic radical mastectomy for breast cancer combined with total pectoral muscle reconstruction with breast implants. The operation time, intraoperative blood loss, prosthesis size, and occurences of nipple-areola complex (NAC) ischemia, flap ischemia, infection, and capsular contracture were recorded. The Breast-Q2.0 score was used to evaluate breast aesthetics, patient satisfaction, and quality of life (including the social mental health score, breast satisfaction score, and chest pain score). Patients were divided into two groups based on the time of operation after the technique was implemented: group A (within 1 year, 25 cases) and group B (after 1 year, 113 cases). The above outcome indicators were compared between the two groups. Furthermore, based on the postoperative follow-up duration, patients were classified into a short-term group (follow-up time was less than 1 year) and a long-term group (follow-up time was more than 1 year). The baseline data and postoperative Breast-Q2.0 scores were compared between the two groups. ResultsThe average operation time was 120.76 minutes, the average intraoperative blood loss was 23.77 mL, and the average prosthesis size was 218.37 mL. Postoperative NAC ischemia occurred in 21 cases (15.22%), flap ischemia in 30 cases (21.74%), infection in 23 cases (16.67%), capsular contracture in 33 cases (23.91%), and prosthesis removal in 2 cases (1.45%). The operation time of group A was significantly longer than that of group B (P<0.05), and there was no significant difference in intraoperative blood loss, prosthesis size, and related complications between the two groups (P>0.05). All patients were followed up 3-48 months (mean, 20 months). There were 33 cases in the short-term group and 105 cases in the long-term group. There was no significant difference in baseline data such as age, body mass index, number of menopause cases, number of neoadjuvant chemotherapy cases, number of axillary lymph node dissection cases, breast cup size, degree of breast ptosis, and postoperative radiotherapy constituent ratio between the two groups (P>0.05). At last follow-up, the breast satisfaction score in the patients’ Breast-Q2.0 score ranged from 33 to 100, with an average of 60.9; the social mental health score ranged from 38 to 100, with an average of 71.3; the chest pain score ranged from 20 to 80, with an average of 47.3. The social mental health score of the long-term group was significantly higher than that of the short-term group (P<0.05); there was no significant difference in breast satisfaction scores and chest pain scores between the two groups (P>0.05). No patient died during the follow-up, and 2 patients relapsed at 649 days and 689 days postoperatively, respectively. The recurrence-free survival rate was 98.62%. Conclusion Endoscopic radical mastectomy for breast cancer combined with total pectoral muscle reconstruction with breast implants has fewer complications and less damage, and the aesthetic effect of reconstructed breast is better.

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