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乳腺癌39例外科手术治疗临床观察 被引量:5

Clinical Observation on 39 Cases Breast Cancer Treated with Surgical Operation
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摘要 目的:探讨外科手术治疗乳腺癌患者的临床疗效。方法:选取2005年3月至2007年10月于我院住院手术治疗的乳腺癌患者39例,为观察组,选取同期保守治疗乳腺癌患者25例,为对照组,对两组患者疗效及1年、3年、5年的存活率进行统计学分析。结果:观察组患者住院时间9-126d,平均32.6d,对照组患者住院时间65-164d,平均78.5d。随访1-5年,观察组1年生存率97.44%,3年生存率84.62%,5年生存率76.92%,5年死亡9例,对照组1年生存率92.00%,3年生存率60.00%,5年生存率52.00%,5年死亡12例,两组患者1年、3年、5年生存率经统计学分析,1年后生存率对比无显著性差异(P>0.05),3年、5年后生存率对比具有统计学意义(P<0.05)。结论:积极提高人们对乳腺癌和早期乳腺癌保乳手术认识以及包乳手术利与弊的分析,提高乳腺癌治疗的认识,选择合适的治疗方式,做到早诊断、早治疗才能降低乳腺癌病死率。 Objective: To observe the clinical efficiency of surgical treatment of the breast cancer.Method: Choosing 39 cases with breast cancer treated with surgical operation in our hospital from March 2005 to October 2007 as the observation group.And selecting 25 cases with breast cancer receiving the conservative treatment the same period as the control group.The efficiency of 2 groups and the 1-,3-,5-year survival rates were analyzed statistically.Result: The admission stay of the observation group was 9-126 days,and average hospital stay was 32.6 days.The admission stay of the control group was 65-164 days,and average hospital stay was 78.5 days.Among the patients of the 2 groups with followed up period of 1-5 years,the 1-,3-,5-year survival rates of the observation group were 97.44%,84.62% and 76.92%.And 12 cases were dead within 5 years.As for the control group,the 1-,3-,5-year survival rates were 92.00%,60.00% and 52.00%.And 12 cases were dead within 5 years.After statistical analysis on the 1-,3-,5-year survival rates between the 2 groups,there was no significant difference on the 1 year survival rate(P0.05),while the 3-,5-year survival rate had significant difference(P0.05).Conclusion: Enhancing the understanding of breast cancer and early breast conserving surgery and analysis of packet breast surgery pros and cons,improving the awareness of the treatment of breast cancer,choosing the right treatment,and ensuring early diagnosis and early treatment can reduce breast cancer fatality rate.
作者 陈明忠
出处 《河北医学》 CAS 2012年第11期1568-1570,共3页 Hebei Medicine
关键词 乳腺癌 外科手术 临床观察 生存率 Breast cancer Surgical operation Clinical observation Survival rate
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