融合筋膜联合植入物即刻乳房重建的可行性研究
目的:探讨融合筋膜法进行植入物即刻乳房重建的肿瘤学及外科学安全性。方法:回顾性分析2014—2017年天津医科大学肿瘤医院343例植入物乳房即刻重建患者的临床资料，比较融合筋膜与其他方法乳房重建患者的5年无局部区域复发生存率、5年无病生存率和5年总生存率，分析不同植入物患者组间发生植入物取出的并发症发生率。结果:343例乳房重建患者中，融合筋膜组(筋膜组)95例，非筋膜组248例(牛心包补片组25例，肌瓣组223例)。中位随访49个月，筋膜组与非筋膜组患者的5年无局部区域复发生存率(分别为90.1%和94.9%)、5年无病生存率(分别为89.2%和87.6%)和5年总生存率(分别为95.2%和...
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| Published in | 中华肿瘤杂志 Vol. 45; no. 6; pp. 514 - 518 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
国家肿瘤临床医学研究中心 天津市肿瘤防治重点实验室 天津市恶性肿瘤临床医学研究中心 乳腺癌防治教育部重点实验室 天津医科大学肿瘤医院乳腺肿瘤一科，天津 300060
01.06.2023
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0253-3766 |
| DOI | 10.3760/cma.j.cn112152-20220419-00270 |
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| Abstract | 目的:探讨融合筋膜法进行植入物即刻乳房重建的肿瘤学及外科学安全性。方法:回顾性分析2014—2017年天津医科大学肿瘤医院343例植入物乳房即刻重建患者的临床资料，比较融合筋膜与其他方法乳房重建患者的5年无局部区域复发生存率、5年无病生存率和5年总生存率，分析不同植入物患者组间发生植入物取出的并发症发生率。结果:343例乳房重建患者中，融合筋膜组(筋膜组)95例，非筋膜组248例(牛心包补片组25例，肌瓣组223例)。中位随访49个月，筋膜组与非筋膜组患者的5年无局部区域复发生存率(分别为90.1%和94.9%)、5年无病生存率(分别为89.2%和87.6%)和5年总生存率(分别为95.2%和95.1%)差异均无统计学意义(均
P>0.05)。补片组植入物取出的并发症发生率为24.0%(6/25)，筋膜组与肌瓣组分别为2.1%(2/95)和2.2%(5/223)。
结论:融合筋膜联合植入物即刻乳房重建是安全可行的，较肌肉瓣损伤小，与补片比较更经济且并发症少。 |
|---|---|
| AbstractList | 目的:探讨融合筋膜法进行植入物即刻乳房重建的肿瘤学及外科学安全性。方法:回顾性分析2014—2017年天津医科大学肿瘤医院343例植入物乳房即刻重建患者的临床资料，比较融合筋膜与其他方法乳房重建患者的5年无局部区域复发生存率、5年无病生存率和5年总生存率，分析不同植入物患者组间发生植入物取出的并发症发生率。结果:343例乳房重建患者中，融合筋膜组(筋膜组)95例，非筋膜组248例(牛心包补片组25例，肌瓣组223例)。中位随访49个月，筋膜组与非筋膜组患者的5年无局部区域复发生存率(分别为90.1%和94.9%)、5年无病生存率(分别为89.2%和87.6%)和5年总生存率(分别为95.2%和95.1%)差异均无统计学意义(均
P>0.05)。补片组植入物取出的并发症发生率为24.0%(6/25)，筋膜组与肌瓣组分别为2.1%(2/95)和2.2%(5/223)。
结论:融合筋膜联合植入物即刻乳房重建是安全可行的，较肌肉瓣损伤小，与补片比较更经济且并发症少。 |
| Abstract_FL | Objective:To investigate the oncologic and surgical safety of the fused fascia method for immediate breast reconstruction with implants.Methods:The clinical data of 343 patients with immediate breast reconstruction with implants in Tianjin Medical University Cancer Hospital from 2014-2017 were retrospectively analyzed to compare the 5-year local recurrence-free survival, 5-year disease-free survival and 5-year overall survival of patients with breast reconstruction by fusion fascia and other methods, and to analyze the complication incidences of implant removal between different implant groups.Results:Of the 343 patients with breast reconstruction, 95 were in the fused fascia group (fascia group) and 248 were in the non-fascia group (25 in the bovine pericardial patch group and 223 in the muscle flap group). At a median follow-up of 49 months, the differences in 5-year local recurrence-free survival (90.1% and 94.9%, respectively), 5-year disease-free survival (89.2% and 87.6%, respectively), and 5-year overall survival (95.2% and 95.1%, respectively) between patients in the fascial and non-fascial groups were not statistically significant (
P>0.05). The complication incidence of implant removal was 24.0% (6/25) in the patch group and 2.1% (2/95) and 2.2% (5/223) in the fascia and muscle flap groups, respectively.
Conclusion:Immediate breast reconstruction with fused fascial combined with implant is safe and feasible, less invasive than muscle flaps, more economical and with fewer complications than patches. |
| Author | 陈祖锦 曹旭晨 王欣 张斌 陈翱翔 |
| AuthorAffiliation | 国家肿瘤临床医学研究中心 天津市肿瘤防治重点实验室 天津市恶性肿瘤临床医学研究中心 乳腺癌防治教育部重点实验室 天津医科大学肿瘤医院乳腺肿瘤一科，天津 300060 |
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| Author_FL | Chen Aoxiang Cao Xuchen Wang Xin Chen Zujin Zhang Bin |
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| Keywords | 乳腺肿瘤 融合筋膜 乳房重建 植入物 Prosthesis Breast reconstruction Breast neoplasms Fused fascia |
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| Title | 融合筋膜联合植入物即刻乳房重建的可行性研究 |
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