关键词: 早期乳腺癌, 保留胸大肌前锯筋膜, 乳房即刻重建术, 安全性

Abstract:

Objective To study the effect of preserving serratus anterior fascia of pectoralis major in immediate breast reconstruction. Method Twenty patients who received early breast cancer treatment in People's Hospital of Yangchun City from April 2021 to March 2022 were randomly selected as the research subjects, and divided into two groups according to the numerical expression method. Among them, 10 patients who received latissimus dorsi flap metastatic breast reconstruction surgery were selected. As the control group, another 10 patients who underwent immediate breast reconstruction with serratus anterior fascia preservation were set as the observation group, and the operation efficiency, appearance satisfaction, and complication rates were compared between the two groups. Result After surgical intervention, the effective rate of operation in the observation group was 90%, and the effective rate in the control group was 60%. There was a significant difference in the indicators between the two groups (P＜0.05). Appearance satisfaction was 70%, and the comparison of satisfaction between the two groups was statistically

significant (P ＜ 0.05). The incidence of complications in the observation group was 10%, and the incidence of complications in the control group was 40%. Significance (P ＜ 0.05). Conclusion The effect of preserving the serratus anterior fascia of the pectoralis major muscle in immediate breast reconstruction is very significant, which improves the patient's appearance satisfaction to a certain extent, and the operation is less traumatic and safe, and reduces the occurrence of complications.

Key words: Early breast cancer, Serratus anterior pectoralis major preservation, Immediate breast reconstruction, Safety