摘要
目的 探讨乳腺区段切除加腋窝淋巴结清扫及放疗治疗早期乳癌的临床效果。方法 对乳腺区段切除术加腋窝淋巴结清扫及放疗的 46例 (治疗组 ) ,与标准根治术 (Halsted根治术 )加放疗 6 6例 (对照组 )的生存率、局部复发率、远处转移率、生活质量和保留乳房的美观效果进行长期随访观察。结果 3 ,5 ,8年生存率治疗组分别为 97.8% ,80 .5 % ,76 .1% ,对照组分别为 97.0 % ,87.9% ,71.2 % ,两组相比无显著差异。治疗组复发率为 :4.3 % ,对照组为4.6 % ;治疗组远处转移率为 19.6 % ,对照组为 16 .7% ,两组相比无显著差异。治疗组保留乳房总优良率达 93 .2 %。结论 乳腺区段切除加腋窝淋巴结清扫及放疗治疗早期乳癌疗效同Halsted根治术 。
Objective To evaluate the clinic effect of local resection plus axialla lympha nodes dissection on treating early stage breast cancer. Methods 112 cases of early stage breast cancer in PLA309 Hospital were divided into 2 groups: local resection plus axially dissection group (46 cases) and Halsted's operation group (66 cases). The survival rate,local recurrence rate,metastasis rate, and casmetic effect of breast were followed up for long time. Results In treatment group, the 3,5,8 years survival rates were 97.8%, 80.5%, 76.1% respectively. In control group 3,5,8 years survival rates were 97.0%, 87.9% and 71.2% respectively. The rate of local recurrence was 4.3% in treatment group and 4.6% in control group.The metastasis rate in treatment group was 19.6%, in control group was 16.7%. 93.2% of patients in treatment group kept good breast figure. Conclusions Local resection plus axially dissection, with the same effect as Halsted procedure, is an ideal method in treating early stage breast cancer.
出处
《中国普通外科杂志》
CAS
CSCD
2001年第5期397-400,共4页
China Journal of General Surgery
