摘要
目的分析在乳腺癌治疗中应用改良乳腺癌根治术的临床价值。方法选取2020年6月—2023年2月间沛县人民医院收治的67例乳腺癌患者作为研究对象,根据随机数表法分为两组,以乳房切除术治疗的33例为对照组,以改良乳腺癌根治术治疗的34例为观察组。对比两组治疗效果、围术期指标、生活质量、并发症及上肢活动度。结果观察组总有效率为88.24%,高于对照组的84.85%,但差异无统计学意义(χ^(2)=0.002,P>0.05)。观察组术中出血量、住院时间均少于对照组,差异有统计学意义(P<0.05)。术后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为8.82%,较对照组的27.27%更低,差异有统计学意义(χ^(2)=3.877,P<0.05)。术前两组肩关节前屈、后伸、外展活动度比较,差异无统计学意义(P>0.05);术后,观察组组肩关节前屈、后伸、外展活动度均优于对照组,差异有统计学意义(P<0.05)。结论在乳腺癌治疗中应用乳房切除术、改良乳腺癌根治术均能够发挥良好的作用,两者手术时间对比无差异,但改良乳腺癌根治术术中出血更少、术后恢复更快、手术并发症发生率更低、生活质量改善更明显。
Objective To analyze the clinical value of modified radical mastectomy in the treatment of breast cancer.Methods A total of 67 patients with breast cancer admitted to Peixian People's Hospital from June 2020 to February 2023 were selected as the research objects.According to the random number table method,they were divided into two groups.33 patients treated with mastectomy were the control group,and 34 patients treated with modified radical mastectomy were the observation group.The therapeutic effect,perioperative indicators,quality of life,complications and upper limb activity were compared between the two groups.Results The total effective rate of the observation group was 88.24%,which was higher than 84.85% of the control group,but the difference was not statistically significant(χ^(2)=0.002,P>0.05).The intraoperative blood loss and hospitalization time in the observation group were less than those in the control group,and the differences were statistically significant(P<0.05).After operation,the quality of life score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 8.82%,which was lower than that in the control group(27.27%),and the difference was statistically significant(χ^(2)=3.877,P<0.05).There was no statistically significant difference in shoulder flexion,extension and abduction between the two groups before operation(P>0.05).After operation,the flexion,extension and abduction of shoulder joint in the observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion Both mastectomy and modified radical mastectomy can play a good role in the treatment of breast cancer,and there was no difference in the operation time between the two.However,modified radical mastectomy has less intraoperative bleeding,faster postoperative recovery,lower incidence of surgical complications,and more obvious improvement in quality of life.
作者
杨萌
王立峰
YANG Meng;WANG Lifeng(Second Department of General Surgery,Peixian People's Hospital,Peixian,Jiangsu Province,221600 China)
出处
《系统医学》
2023年第14期124-127,共4页
Systems Medicine
关键词
改良乳腺癌根治术
并发症
生活质量
上肢活动度
围术期指标
Modified radical mastectomy for breast cancer
Complications
Quality of life
Upper limb mobility
Perioperative indicators
