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目的探讨中青年女性乳腺癌肿瘤乳房比例对保乳术后乳房美观度的影响。方法 95例单侧早期乳腺癌行乳腺癌保乳术成功患者,根据肿瘤/乳房体积比分为≥1∶3(n=28)、1∶3~1∶4(n=31)和≤1∶4(n=36)三组,对术后患者的乳房美容效果进行评价。结果保乳术后患者乳房美容效果总满意度达到64.2%。肿瘤乳房比≥1∶3时,术后美容效果满意度为46.4%;肿瘤乳房比为1∶3~1∶4时,术后美容效果满意度为61.3%;肿瘤乳房比≤1∶4时,术后美容效果满意度为80.6%。肿瘤乳房比≤1∶4患者术后美容效果满意度高于肿瘤乳房比≥1∶3、1∶3~1∶4患者(P<0.05)。结论肿瘤与乳房体积比例是保乳术后乳房形体恢复的一个重要因素。
Objective To investigate the influence of the proportion of breast cancer in young and middle-aged women on breast aesthetic appearance after breast-conserving surgery. Methods Ninety-five patients with unilateral breast cancer who underwent successful breast-conserving surgery were enrolled in this study. Their tumor / breast volume ratios were ≥1: 3 (n = 28), 1: 3 to 1: 4 4 (n = 36) three groups, postoperative breast cosmetic evaluation of patients. Results After breast-conserving surgery, the total satisfaction of breast cosmetic effect reached 64.2%. Tumor breast ratio ≥ 1: 3, postoperative cosmetic effect satisfaction was 46.4%; tumor breast ratio of 1: 3 to 1: 4, postoperative cosmetic effect satisfaction was 61.3%; tumor breast than ≤ 1: 4 , Cosmetic satisfaction after surgery was 80.6%. Satisfaction of the cosmetic effect of tumor breast ≤ 1: 4 was higher than that of tumor breast ≥1: 3, 1: 3 ~ 1: 4 (P <0.05). Conclusion The ratio of tumor to breast volume is an important factor in the restoration of breast shape after breast-conserving surgery.