中国实用外科杂志

中国实用外科杂志

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中国110家中心乳腺癌保乳整形技术现况调查分析

邵鼎轶，苏永辉，修秉虬，李    伦，郭    瑢，张    琪，王    嘉，季玮儒，吴    可，杨犇龙，张莹莹，曹阿勇，邵志敏，吴    炅   

  1. 复旦大学附属肿瘤医院乳腺外科，复旦大学上海医学院肿瘤学系  肿瘤医学协同创新中心，上海200032
  • 出版日期:2019-11-01 发布日期:2019-11-12

  • Online:2019-11-01 Published:2019-11-12

摘要：

目的    统计分析国内乳腺癌保乳整形技术开展现况。 方法    采用问卷调查方法获取全国乳腺癌年手术量>200例的110家中心的2017年保乳整形手术数据，对保乳整形手术的开展情况、影响手术开展的因素进行统计学描述和分析。 结果    调查共获取受访医院2017年全国保乳整形手术8443例，占受访医院全部乳腺癌手术量的9.8%，全部保乳手术量的43.4%。保乳整形技术应用比例极不平衡，有36家（32.7%）医院保乳整形手术占保乳比例在50%以上，但同样有36家（32.7%）医院该比例在10%以下。医院年乳腺癌手术量与保乳整形手术占保乳手术比例有显著性关系（P=0.006），容积移位技术使用比例显著高于容积替代技术（60.1% vs.15.2%，P<0.001），地理分区、地区经济水平、医院等级、医院类型均与保乳整形手术开展情况无显著性关联。 结论    目前国内乳腺癌肿瘤整形技术开展规模不一，乳腺外科医生应进一步完善相关技术培训、强化保乳整形理念，积极开展多学科合作。

关键词: 乳腺癌, 保乳整形, 现况调查

Abstract:

Oncoplastic breast conserving surgery：A cross-sectional study of 110 breast surgery centers  in China                         SHAO Ding-yi, SU Yong-hui, XIU Bing-qiu, et al. Department of Breast Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
Corresponding author: WU Jiong, E-mail: wujiong1122@vip.sina.com
Abstract    Objective    To report the application of oncoplastic breast conserving surgery (OBCS) in China. Methods The survey was performed by using questionnaire in 110 breast surgery centers in China, whose annual breast cancer surgery volume over 200 in 2017. The surgery application situation and its relevant factors were analyzed. Results    In 2017, total 8443 cases of OBCS were performed in sample hospitals. OBCS occupied 9.8% of total breast cancer surgery and 43.4% of total breast conserving surgery (BCS). OBCS application showed extremely uneven among different hospitals. Both the number of hospitals whose OBCS/BCS >50% or <10% were 36 (32.7%). Hospital’s breast surgery volume had significant relevance with proportion of OBCS in BCS (P=0.006). The application rate of volume displacement was significantly higher than that of volume replacement (60.1% vs. 15.2%, P<0.001). Geological distribution, GDP, hospital level or category showed no significant relevance with the OBCS application. Conclusion    The present scale of OBCS usage are uneven in China. Breast surgeons should receive more oncoplastic skills training, strengthen the concept of oncoplastic surgery and improve the multidisciplinary cooperation.

Key words: breast cancer, oncoplastic breast conserving surgery, prevalence survey