摘要
目的对照研究保乳手术与改良根治术治疗早期乳腺癌的手术效果,旨在为早期乳腺癌患者的治疗提供有力的指导依据。方法选取笔者所在医院2007年8月～2009年8月乳腺癌患者60例,分为对照组和实验组,其中对照组30例行改良根治术,实验组30例行保乳手术,比较两组的手术时间、术中出血量、并发症发生率、两组术后复发率和生存率及两组的美容效果的优良率。结果实验组的术中手术时间明显短于对照组,术中出血量少于对照组,术后并发症发生率低于对照组,差异均有统计学意义(P<0.05)。实验组、对照组无论术后1年还是术后3年,其复发率及生存率两组间比较差异均无统计学意义(P>0.05)。实验组美容效果优良率达86.67%,明显高于对照组(66.67%),差异有统计学意义(x2=6.237,P<0.05)。结论改良根治术治疗早期乳腺癌的效果比较,保乳手术具有出血量少、临床并发症少,美容效果好等优点,且术后随访其复发率和生存率与改良根治术相似,具有与改良根治术同样的远期效果,值得广泛推广和应用。
Objective To control study the treatment effect of breast-conserving surgery and modified radical masteetomy treatment early breast cancer, designed to provide a strong basis for guiding the treatment of early breast cancer patients. Methods 60 cases of breast cancer patients of our hospital from August 2007 to August 2009 were divided into the control group and experimental group. The control group 30 patients were treated with modified radical mastectomy, the experimental group of 30 were treated with routine breast-conserving surgery. The operative time, blood loss, complication rate, postoperative recurrence and survival rates and excellent cosmetic results in both groups rate were compared. Results The experimental group intraoperative surgical time was significantly shorter than the control group, blood loss less than the control group, the incidence of postoperative complications was lower than the control group, the differences were statistically significant （P 〈 0.05）. Experimental group and the control group, whether after 1 year or 3 years after surgery, the recurrence rate and survival rate between the two groups showed no significant difference （P 〉 0.05）. Excellent cosmetic results of the experimental group was 86.67%, which was significantly higher than that in the control group （66.67%）, the difference was statistically significant （x2=6.237, P 〈 0.05）. Conclusion The effect of modified radical mastectomy for early breast cancer compared with breast-conserving surgery with less blood loss, less clinical complications, cosmetic results, etc., and the patients were followed up for recurrence and survival rates with modified radical mastectomy, having modified radical mastectomy the same long-term effects should be popularized and applied.
出处
《中国医药科学》
2013年第2期12-14,共3页
China Medicine And Pharmacy
关键词
早期乳腺癌
保乳手术
改良根治术
美容效果
Eearly breast cancer
Breast-conserving surgery
Modified radical mastectomy
Cosmetic results
