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保乳术与改良根治术治疗乳腺癌患者临床疗效及预后影响分析 被引量:10

Clinical efficacy and prognosis of breast cancer patients treated by conserving breast and improved radical resection
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摘要 目的验证治疗乳腺癌采取保乳术和改良根治术的治疗成效。方法选取山东省淄博市淄博化建医院2016年4月~2017年5月期间接收的乳腺癌患者66例为研究对象,将其随机平均分为观察组和对照组,各33例。对照组采取改良根治术,观察组采取保乳术,探究对比两组患者的治疗效果和预后成效。结果观察组患者的治疗总优良率为96.97%,高于对照组的81.82%,差异具有统计学意义(P<0.05);观察组患者的手术出血量、手术时间、住院时间等指标均少于对照组,差异有统计学意义(P<0.05);另外,观察组患者的术后并发症发生率为6.06%、复发率为3.03%、生存率为93.94%,明显优于对照组的21.21%、18.18%和81.81%,差异有统计学意义(P<0.05)。结论对乳腺癌患者实施保乳术治疗,可有效使术中出血量减少,缩短手术时间,降低并发症发生率和复发率,提高存活率。 Objective To evaluate the efficacy of breast conserving surgery and modified radical mastectomy for breast cancer. Methods 66 patients with breast cancer received in Zibo Huajian Hospital of Shandong Province from April 2016 to May 2017 were randomly divided into observa- tion group and control group, 33cases in each group. The control group was treated with modified radical mastectomy, while the observation group was treated with breast conserving surgery. Results The total excellent and good rate of the observation group was 96.97%, which was higher than 81.82% of the control group, and the difference was statistically significant (P 〈 0.05). The incidence, recurrence rate and survival rate were 6.06%, 3.03% and 93.94% respectively, which were significantly better than those of the control group (21.21%, 18.18% and 81.81%, P〈0.05). Conclusion Breast conserving surgery for breast cancer patients can effectively reduce intraoperative bleeding, shorten the operation time, reduce the incidence of complications and recurrence rate, and improve the survival rate.
作者 杨鑫 Yang Xin(Deoartnent of surgery,Zibo Huajian hospital,Zibo,Shandong,255438,China)
出处 《当代医学》 2018年第27期73-75,共3页 Contemporary Medicine
关键词 保乳术 改良根治术 乳腺癌 治疗 预后 Breast conserving surgery Modified radical mastectomy Breast cancer Treatment Prognosis
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