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扩大乳腺癌手术后影响血清肿形成因素的范围。

Expanding Scope About Factors Influencing Seroma Formation After Breast Cancer Surgery.

机构信息

Department of Surgical Oncology, Mansoura University, Egypt.

Department of General Surgery, Kafrelsheikh University, Egypt.

出版信息

J Pak Med Assoc. 2023 Apr;73(Suppl 4)(4):S282-S286. doi: 10.47391/JPMA.EGY-S4-55.

Abstract

OBJECTIVES

To determine the incidence of seroma formation after breast cancer surgery, and its association with common risk factors.

METHOD

The correlationalstudy was conducted at the General Surgery department of Kafrelsheikh University Hospital, Egypt, from March 2020 to March 2022 and comprised patients having breast cancerstage I, II or III, as per the Tumour Node-Metastasis classification, who were scheduled to undergo modified radical mastectomy, breast conserving surgery or reconstructive surgery. Baseline, intraoperative and postoperative data was collected on a proforma. Data was analysed using SPSS 22.

RESULTS

Of the 50 female patients with mean age 45±5.20 (range: 20-70 years), 30(60%) were in the elderly group aged >45 years, while 20(40%) were aged <45years. Overall, 12(24%) cases developed seroma; 9(30%) in the elderly group. There were 24(48%) cases of modified radical mastectomy, and 8(33.3%) had seroma. Electrocautery was used for breast dissection in 30(60%) cases, and, among them, seroma developed in 10(33.3%) patients.

CONCLUSIONS

Age, body weight, afflicted breast side, site, and size of breast mass were not found to be significant predictors of seroma formation following breast cancer surgery.

摘要

目的

确定乳腺癌手术后血清肿的发生率及其与常见危险因素的关系。

方法

该相关性研究于 2020 年 3 月至 2022 年 3 月在埃及卡夫拉谢赫大学医院普外科进行,纳入经肿瘤淋巴结转移(TNM)分期为 I、II 或 III 期的乳腺癌患者,他们计划接受改良根治性乳房切除术、保乳手术或重建手术。在表格上收集基线、手术中和术后数据。使用 SPSS 22 分析数据。

结果

在 50 名平均年龄为 45±5.20 岁(范围:20-70 岁)的女性患者中,30 名(60%)为年龄>45 岁的老年组,而 20 名(40%)为年龄<45 岁。总的来说,有 12 例(24%)发生血清肿;老年组 9 例(30%)。改良根治性乳房切除术 24 例(48%),其中 8 例(33.3%)发生血清肿。30 例(60%)患者采用电灼法进行乳房解剖,其中 10 例(33.3%)患者发生血清肿。

结论

年龄、体重、患病乳房侧、部位和乳房肿块大小均不是乳腺癌手术后血清肿形成的显著预测因素。

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