早期乳腺癌保乳手术与根治术的临床疗效分析.docVIP

精品论文 参考文献 早期乳腺癌保乳手术与根治术的临床疗效分析 湖南省常德市澧县人民医院普外一科 湖南澧县 415500 【摘 要】目的：分析探讨早期乳腺癌保乳手术与根治术的临床疗效。方法：选取2013年1月-2015年11月我院收治的86例早期乳腺癌患者。根据所选治疗方式不同将所有患者分为观察组（44例）和对照组（42例）。对比两组患者手术情况及预后情况。结果：观察组患者手术所用时间、术中出血量、并发症发生率均明显少于对照组；两组患者术后局部复发率、远处转移率、5年生存率比较差异无统计学意义（P＞0.05）；观察组患者生活质量评分明显高于对照组（P＜0.05）。结论：早期乳腺癌应用保乳手术与根治术疗效无明显差异，但保乳手术创伤小、并发症发生率低，对患者术后生活影响较低，更利于患者接受。 【关键词】早期乳腺癌 保乳手术 根治术 【Abstract】: Objective: To investigate the effect of early breast cancer breast conserving surgery and radical mastectomy clinical curative effect. Methods: a total of 2013 January 2015 November in our hospital from 86 cases of early breast cancer patients. According to the selected treatment all patients were divided into the observation group (44 cases) and control group (42 cases). The contrast between the two groups of patients with surgery and prognosis. Results: in the observation group of patients with operation time, intraoperative blood loss and complication incidence were significantly less than that of the control group. The two groups of patients with postoperative local recurrence rate and distant metastasis rate, 5 years survival rate were not statistically significant (P gt; 0.05). The observation group Score of quality of life of patients was significantly higher than that of control group (P lt; 0.05). Conclusion: early application of breast cancer insurance conserving surgery and radical surgery effect without obvious difference, but Bao milk surgical trauma is small, low complication rate, on postoperative life is low and easily accepted by patients. 受到近些年社会压力、生活环境等因素的影响，女性乳腺癌的发病人数呈现出逐年增加的趋势[1]。乳腺癌做为对女性身心健康影响严重的恶性肿瘤，选择合理的术式，在保证治疗效果的同时最大程度保持局部美观，是目前医学工作者的研究重点[2]。本文重点分析了早期乳腺癌应用保乳手术与根治手术的疗效，线报道如下。 1资料和方法 1.1基本资料 选取2013年1月-2015年11月我院收治的86例早期乳腺癌患者作为研究对象。年龄27~55岁，平均年龄（35.7plusmn;8.9）岁；其中61例患者为单侧乳腺发病、25例患者为双侧乳腺发病例、左乳47例、右乳39例、内上象限24例、内下象限20例、外上象限21例、外下象限21例；乳腺癌临床分期:31例为Ⅰ期、55例为Ⅱa期；病理类型: 乳腺导管内癌30例、浸润性小叶癌11例、浸润型导管癌13例、髓样癌9例、单纯癌8例、腺癌8例、黏液癌4例、乳头状癌3例。根据所选治疗方式