Breast Conserving Surgery Using Volume Replacement with Oxidized Regenerated Cellulose: A Cosmetic Outcome Analysis
Breast Conserving Surgery Using Volume Replacement with Oxidized Regenerated Cellulose: A Cosmetic Outcome Analysis
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DOI：
10.1111/tbj.12229
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发表时间：
2014-03-01
期刊：
影响因子：
2.1
通讯作者：
Uchiyama, Kazuhisa
中科院分区：
文献类型：
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作者：
Tanaka, Satoru;Sato, Nayuko;Uchiyama, Kazuhisa
我们评估了保乳手术（BCS）后氧化再生纤维素（ORC）体积置换的美容效果，并研究了可能影响结果的因素。2010年1月至2012年8月期间接受BCS合并ORC置换的94例患者参加了本研究。根据日本乳腺癌协会的标准对这些患者的美容结果进行评分。我们根据几个临床因素和手术后并发症的发生来评估美容评分。所有患者的美容结果平均得分为9.5分（总分12分）。37例为优，34例为良，22例为一般，1例为差。患者的年龄、体重指数、标本重量和ORC量在美容评分良好的患者与评分不佳的患者之间无显著差异。然而，在美容评分不佳的患者中，切除标本的重量略高。急性皮炎和湿疹分别占15%和3%，经保守治疗均有好转。无并发症患者的美容评分明显高于有并发症患者。总之，BCS后ORC置换是一种简单可靠的手术。适应证的选择和并发症的预防是获得更好的美容效果的重要因素。这是首个对大量BCS术后行ORC置换的患者进行美容评价的报道。
We evaluated the cosmetic outcome of volume replacement with oxidized regenerated cellulose (ORC) after breast-conserving surgery (BCS) and also examined factors that may have influenced the results. Ninety-four patients who underwent BCS with ORC replacement between January 2010 and August 2012 participated in this study. The cosmetic outcomes of these patients were evaluated using scores based on the criteria of the Japan Breast Cancer Society. We evaluated cosmetic scores with regards to several clinical factors and the occurrence of complications after this procedure. The mean score of the cosmetic outcome of all patients was 9.5 points of 12 points. Thirty-seven patients were categorized as Excellent, 34 were Good, 22 were Fair, and 1 was Poor. Patient age, body mass index, weight of the specimen, and ORC amount were not significantly different between patients with favorable cosmetic scores and those without. However, the weight of the removed specimen was slightly higher in patients with an unfavorable cosmetic score. Although acute dermatitis and eczema was observed in 15% and 3% of patients, all of them were improved with conservative treatment. Cosmetic scores were significantly higher in patients without complications than in patients with complications. In conclusion, ORC replacement after BCS is a simple and reliable procedure. The selection of indication and prevention of complications are important for obtaining a better cosmetic outcome. This is the first report to cosmetically evaluate a relatively large number of patients that have undergone ORC replacement after BCS.