Abstract:
Objective To study the effect of stellate or cylindrical lactation resection based on ultrasound-guided staining in patients with early breast cancer.
Methods A retrospective analysis was performed on 80 patients with early breast cancer admitted from September 2019 to September 2020, and they were divided into two groups by case matching method, with 40 patients in each group. The shuttle-shaped group received ultrasound guided resection of lactation region with staining marks, and the cylindrical group received ultrasound guided resection of lactation region with staining marks. SPSS 24.0 was used to process the data. Measurement data such as perioperative indicators, pain score and aesthetic effect were represented by (
), and independent sample t test was used. The statistical data such as margin evaluation and complications were expressed by [cases (%)] and χ2 test was performed. Survival curve was plotted by Kaplan-Meier method and Log-Rankχ2 test was used. P<0.05 was considered to be statistically significant.
Results There were no significant differences in staining area, operation time, hospital stay, incisal margin, breast compliance difference and perioperative complication rate between the two groups (P>0.05). The degree of breast depression, symmetry and scar score in cylindrical group were lower than those in barracuda group (P<0.05). The immediate postoperative pain score of the cylindrical group was lower than that of the shuttle group, and the intraoperative blood loss was lower than that of the shuttle group (P<0.05). The total incidence of long-term complications in the cylindrical group was lower than that in the shuttle group (P<0.05). The disease-free survival rate in the cylindrical group was significantly lower than that in the column group (Log-Rankχ2=4.682, P=0.034).
Conclusion IIn the treatment of early breast cancer, the treatment of cylindrical lactation segmentation after ultrasound-guided staining is safe and effective, with little damage to the patient's body, low incidence of postoperative long-term complications, high aesthetic appearance of the breast.
Key words:
Breast Neoplasms,
Early Diagnosis,
Staining and Labeling,
Margins of Excision,
Mastectomy, Segmental
Linjuan Zhao, Jie Lv, Wensheng Wang, Demao Ma, Tao Hou. Study on the effect of ultrasound guided resection of stellate and cylindrical lactation preserving areas with staining marks[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(06): 634-637.