摘要
目的分析保乳术与改良根治术在早期乳腺癌治疗中的效果。方法选定2017年2月—2019年2月期间到该院接受治疗的早期乳腺癌患者66例,完成此次研究。接受保乳术治疗的为研究组(n=33),接受改良根治术的为参照组(n=33),对比两组患者的临床治疗效果、各项临床指标和远期预后效果差异。结果研究组复发率(3.03%)、远处转移情况(3.03%),患者的淋巴结清除数(16.39±2.49)个,与参照组[12.12%、6.06%和(16.42±2.31)个]之间差异无统计学意义(χ^(2)=0.866、0.000,t=0.051,P>0.05);研究组患者的平均手术时间(56.82±16.84)min、术中出血量(38.28±7.92)mL和住院时间(7.81±2.15)d均短于参照组[(88.62±14.69)min、(84.33±11.25)mL和(12.36±5.84)d],组间差异有统计学意义(t=8.175、19.228、4.200,P<0.001);研究组的并发症出现率(3.03%)明显低于参照组(24.24%),美观程度(7.52±2.10)分明显优于参照组(5.20±1.09)分,差异有统计学意义(χ^(2)=4.632,t=5.633,P<0.05)。结论两种治疗手段的远期治疗效果并无较大差异,但从美学角度来讲更加推荐保乳术,且保乳术还具有所需时间段和术中出血量低的优点,不仅有助于患者术后并发症发生率的降低,对于患者住院时间的缩短也有着较好的作用,规范操作可取得较好的临床效果。
Objective To analyze the effects of breast-conserving surgery and modified radical mastectomy in the treatment of early breast cancer.Methods A total of 66 early breast cancer patients who came to the hospital for treatment from February 2017 to February 2019 were selected to complete the study.The study group(n=33)received breast-conserving surgery,and the reference group(n=33)received modified radical mastectomy.The clinical treatment effects,various clinical indicators,and long-term prognostic effects of the two groups were compared.Results The recurrence rate(3.03%),distant metastasis(3.03%),and the number of lymph node clearances(16.39±2.49)items in the study group were compared with the reference group[12.12%,6.06% and(16.42±2.31)items],and there were not statistically significantly different(χ^(2)=0.866,0.000,t=0.051,P>0.05);the average operation time of patients in the study group was(56.82±16.84)min,intraoperative blood loss(38.28±7.92)mL and hospitalization time(7.81±2.15)d were shorter than the reference group[(88.62±14.69)min,(84.33±11.25)mL and(12.36±5.84)d],the difference was statistically significant(t=8.175,19.228,4.200,P<0.001);the complication rate of the study group(3.03%)was significantly lower than that of the reference group(24.24%),the aesthetic degree(7.52±2.10)points was significantly better than the reference group(5.20±1.09)points,and the difference was statistically significant(χ^(2)=4.632,t=5.633,P<0.05).Conclusion There is no big difference in the long-term therapeutic effects of the two treatment methods,but from an aesthetic point of view,breast-conserving surgery is more recommended,and breast-conserving surgery also has the advantages of the required time period and low intraoperative blood loss,which not only helps the reduction in the incidence of postoperative complications of patients,but also has a good effect on shortening the length of hospitalization for patients.Standardized operations can achieve better clinical results.
作者
王新安
李杰
WANG Xin-an;LI Jie(Department of General Surgery,Pingdu People's Hospital of Shandong Province,Qingdao,Shandong Province,266700 China)
出处
《世界复合医学》
2021年第3期115-117,共3页
World Journal of Complex Medicine
关键词
保乳术
乳腺癌
改良根治术
Breast-conserving surgery
Breast cancer
Modified radical mastectomy
