摘要
国家卫生健康委员会制定的《肿瘤专业医疗质量控制指标(2023年版)》,旨在提升医疗质量管理的科学化、精细化、规范化水平。其中,"首次治疗前临床TNM分期诊断率""首次治疗前临床TNM分期检查评估策略符合率"等指标,为制定合理化、针对性的治疗方案奠定国家标准。本文结合《中华医学会乳腺外科临床实践指南》相关内容,针对乳腺癌组织病理学取材、cN0期乳腺癌前哨淋巴结活检、早期乳腺癌保留乳房手术、改良根治术腋窝淋巴结清扫、乳腺癌术后乳房重建手术、乳腺腔镜手术同质化、晚期乳腺癌外科治疗原则、局部晚期乳腺癌新辅助治疗和乳腺外科手术分级标准等近年来临床关注的乳腺外科热点问题提出观点,希望为提高中国乳腺外科临床工作同质化水平提供帮助。
The National Health Commission of the People′s Republic of China has formulated the Quality Control Indexes for Oncology(2023 edition),with the objective of improving medical quality scientifically,refined and standardized.Among these indexes,the rate of pretreatment clinical TNM staging and the coincidence rate of evaluation of pretreatment TNM staging lay national standards for patients to formulate rational and targeted treatment strategies.This article reviewed the literature and referred to Chinese Medical Association Clinical Practice Guide for Breast Surgery,and presented recommendations for the hot topics of breast surgery,such as pathological sampling of the breast specimen,sentinel lymph node biopsy for early-stage breast cancer,breast conserving surgery,axillary lymph node dissection,breast reconstruction surgery,endoscopic-assisted breast surgery,the principles of surgical treatment for metastatic breast cancer,neoadjuvant treatment for advanced disease,and surgical grade of breast surgery,which have been widely concerned in recent years,to help improve homogenization of breast cancer treatment in China.
作者
辛灵
向泓雨
叶京明
刘荫华
Xin Ling;Xiang Hongyu;Ye Jingming;Liu Yinhua(Department of Thyroid and Breast Surgery,Peking University First Hospital,Beijing 100034,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2024年第2期93-98,共6页
Chinese Journal of Surgery
基金
北京医学奖励基金会青年培育基金(YXJL-2016-0040-0065,YXJL-2020-0941-0736)
中国乳腺外科青年医师研究课题支持项目(CJBSRAF-2022)。
关键词
乳腺肿瘤
外科手术
质量控制
规范化诊治
Breast neoplasms
Surgical procedures,operative
Quality control
Standardized diagnosis and treatment
