摘要
目的探讨不同术式在早期乳腺癌患者中的应用效果。方法选取2018年1月~2019年3月我院收治的52例初治早期乳腺癌(Ⅰ期、ⅡA期)患者作为研究对象,根据治疗方式的不同分为保乳组(n=28例)与改良根治术组(n=24例)。保乳组患者行保乳术治疗,改良根治术组患者行改良根治术。比较两组的手术时间、切口长度、术中出血量、住院时间和并发症,术后3个月评价患侧乳房客观优良率和主观总满意度。结果保乳组的手术时间、切口长度、住院时间均短于改良组,术中出血量少于改良组,差异均有统计学意义(P<0.05)。保乳组的并发症总发生率为7.14%,低于改良组的20.83%,差异有统计学意义(P<0.05);保乳组的客观优良率和主观总满意度高于改良组,差异均有统计学意义(P<0.05)。结论保乳术治疗早期乳腺癌创伤小,并发症少,可获得更佳的乳房外形效果和更高的满意度。
Objective To explore the application effect of different operation methods in the early breast cancer patients.Methods From January 2018 to March 2019,52 patients with early stage breast cancer(stageⅠand stageⅡA)were selected and divided into the breast-conserving group(28 cases)and the modified radical operation group(24 cases)according to the different treatment methods.The breast-conserving group was treated with the breast-conserving operation,and the modified radical operation group was treated with modified radical operation.The operation time,incision length,intraoperative bleeding volume,hospitalization time and complications were compared between the two groups.Three months after operation,objective excellent rate and subjective total satisfaction of the affected breast were evaluated.Results The operation time,incision length and hospitalization time of the breast-conserving group were shorter than those of the modified radical operation group,and the amount of intraoperative bleeding of the breast-conserving group was less than that of the modified radical operation group,the differences were statistically significant(P<0.05).The total complication rate of the breast-conserving group was 7.14%,which was lower than 20.83%of the modified radical operation group,and the difference was statistically significant(P<0.05).The objective excellent rate and subjective total satisfaction of the breast-conserving group were higher than those of the modified radical operation group,with statistically significant differences(P<0.05).Conclusion The breast-conserving surgery has less trauma and less complications in the treatment of early breast cancer,and can obtain better breast appearance effect and higher satisfaction.
作者
李柳莹
柯华
刘宝
赖清
李小红
LI Liu-ying;KE Hua;LIU Bao;LAI Qing;LI Xiao-hong(The Sixth Department of Surgery,Yangchun People′s Hospital,Guangdong Province,Yangchun529600,China)
出处
《中国当代医药》
2020年第30期110-112,116,共4页
China Modern Medicine
基金
广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号-110)。
关键词
保乳术
改良根治术
早期乳腺癌
效果
Breast-conserving operation
Modified radical operation
Early breast cancer
Effect
