摘要
目的：探讨乳腺癌Ⅱ期B、Ⅲ期在根治改良Ⅱ基础上胸大肌、胸小肌进一步改良方法（本文称乳腺癌根治改良Ⅲ）的手术疗效。方法：2008年12月-2010年12月,我院普外科对收治的Ⅱ期B、Ⅲ期乳腺癌患者50例,随机分成A、B二组,A组25例,均采用乳腺癌根治改良Ⅲ。B组25例均采用改良Ⅱ（Patey）。对两组患者术中出血量、手术时间、住院天数、术后并发症发生率、术后肿瘤复发率、术后生存率等进行统计学分析。结果：术后并发症发生率、术后肿瘤复发率、术后生存率两组患者有显著性差异（P〈0.01）。术中出血量、手术时间、住院天数两组患者无显著性差异（P〉0.01）。结论：基于胸大肌、胸小肌改良上的乳腺癌根治改良Ⅲ手术方法治疗Ⅱ期B、Ⅲ期乳腺癌患者在术后并发症发生率,术后复发率及术后生存率等方面明显优于改良Ⅱ（Patey）,值得临床推广。
Objective：To study the curative effect of Breast cancer Phase Ⅱ（B） and Phase Ⅲ with modified radical mastectomy.Methods：50 cases of breast cancer Phase Ⅱ（B） and Phase Ⅲ,treated in our hospital from Dec.2008 to Dec.2010,were divided into Group A and Group B.25 cases in Group A were applied with modified radical mastectomy Ⅲ.The other 25 cases in Group B were applied with modified Ⅱ（Patey）.The statistics analysis between the two groups（including the blood loss during the operation,the length of operating time,the length of stay in hospital,the postoperative complications,the postoperative tumor recurrence rate,the survival rate） was done.Result：There was significant difference in postoperative complications,tumor recurrence rate and survival rate between the two groups（P0.01）;while in the blood loss during the operation,the length of operating time and the length of stay in hospital,there was no significant difference（P0.01）.Conclusion：The modified radical mastectomy is obviously a better choice for breast cancer Phase Ⅱ（B） and Phase Ⅲ.It deserves clinical generalization.
出处
《赣南医学院学报》
2011年第3期380-381,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
乳腺癌
根治
改良Ⅲ
复发率
Breast cancer
Radical cure
Modified radical mastectomy
Recurrence rate
