| 摘要: |
| ［摘要］ 目的 比较保乳术与改良根治术治疗乳腺癌的临床疗效和应用价值。方法 选取2011-06～2014-05该院收治的147例女性乳腺癌患者，按手术方式分为两组，其中保乳术（观察组）78例，改良根治术（对照组）69例，于术后结合患者实际情况给予辅助性治疗及术后定期随访，分别记录两组癌症患者的术中情况、乳房美观效果等，对两种手术方式进行多方面比较分析。结果 观察组的手术时间、出血量及术后住院时间明显少于对照组，差异有统计学意义（P<0.05）；观察组的乳房美观效果明显优于对照组，差异有统计学意义（P<0.05）；两组的并发症、局部复发率、转移率差异无统计学意义（P>0.05）。结论 保乳术治疗女性乳腺癌患者的临床疗效显著，与传统的改良根治术相比，手术损伤小、恢复快、乳房美观效果好，具有临床应用价值。 |
| 关键词: 乳腺癌 保乳术 改良根治术 临床疗效 |
| DOI：10.3969/j.issn.1674-3806.2017.01.19 |
| 分类号:R 737.9 |
| 基金项目: |
|
| Comparison of the clinical efficacy between breast conserving surgery and modified radical mastectomy in the treatment of breast cancer |
|
LI Zhong, YUAN Yang-chun
|
|
Department of General Surgery, Rongcheng Maternal and Child Health Care Hospital, Jieyang Guangdong 522000, China
|
| Abstract: |
| ［Abstract］ Objective To compare the clinical efficacy between the breast conserving surgery and the modified radical mastectomy in the treatment of breast cancer.Methods One hundred and forty-seven women with breast cancer from June 2011 to May 2014 were analyzed retrospectively.According to the different surgery methods, they were divided into two groups. The observation group(n=78) was treated with the breast conserving surgery and the control group(n=69) was treated with modified radical mastectomy. The operation time, intraoperative blood loss and length of hospital stay, breast aesthetics and postoperative follow-up results were compared between the two groups.Results The operation time, blood loss and postoperative hospital stay in the observation group were obviously less than those in the control group(P<0.05); The breast aesthetics in the observation group was obviously better than that in the control group(P<0.05); There were no significant differences in the incidence, local recurrence rate and metastasis rate between the two groups(P>0.05).Conclusion The breast conserving surgery is better than modified radical mastectomy in the treatment of breast cancer. It has less surgical trauma, faster recovery and better breast aesthetics. |
| Key words: Breast cancer Breast conserving surgery Modified radical mastectomy Clinical efficacy |
