中国医学创新2025，Vol.22Issue(13)：6-10,5.DOI:10.3969/j.issn.1674-4985.2025.13.002
带蒂大网膜在乳腺癌重建术患者中的临床应用效果
Clinical Application Effect of Greater Omentum Flap with Vascular Pedicle in the Patients with Plastic Reconnstruction for Breast Cancer
摘要
Abstract
Objective:To investigate the application effect of greater omentum flap with vascular pedicle in the patients with plastic reconstruction for breast cancer.Method:A total of 100 patients with plastic reconstruction for breast cancer in Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region from January 2020 to January 2024 were divided into control group 50 cases and observation group 50 cases by the random number table method.The control group was treated with implant-based breast reconstruction,the observation group was treated with greater omentum flap with vascular pedicle.Then the prognostic indexes[reoperation rates,hospitalization time and cost,postoperative complications(incision infection,subcutaneous hemorrhage,fluid accumulation and flap necrosis),late complications(breast appearance changes and glandular atrophy)],patients'satisfaction[patient satisfaction questionnaire-18 scale(PSQ-18)],aesthetic degree(SOMA-LNET score)and life quality[patient-reported outcomes measure for breast cancer patients(Breast-Q scale)]before and after the operation of two groups were compared.Result:The reoperation rate,postoperative complications rate and late complications rate of observation group were significantly lower than those of control group,the hospitalization time was significantly shorter than that control group,the cost was significantly less than that of control group,PSQ-18 scale scores were significantly higher than those of control group,the differences were statistically significant(P<0.05).The SOMA-LNET scores and Breast-Q scale scores of two groups before the operation were compared,the differences were not statistically significant(P>0.05),the SOMA-LNET scores and Breast-Q scale scores of observation group at sixth month after the operation were significantly higher than those of control group,the differences were statistically significant(P<0.05).Conclusion:The application effect of greater omentum flap with vascular pedicle in the patients with plastic reconstruction for breast cancer is better,and its safety is higher,and its improvement effect for aesthetic degree is better,so it is more recognized by patients.关键词
带蒂大网膜/乳腺癌重建术/美观程度Key words
Greater omentum flap with vascular pedicle/Plastic reconstruction for breast cancer/Aesthetic degree引用本文复制引用
何婕,陈喜裕,莫丹,唐赛,邓敏军,冯静,李新宁..带蒂大网膜在乳腺癌重建术患者中的临床应用效果[J].中国医学创新,2025,22(13):6-10,5.基金项目
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210259) （Z20210259）
