保乳手术应用于早期乳腺癌的临床治疗效果研究-现代临床医学.DOCVIP

2017-2-4 郭 2017-02-22 董 2017-3-2 主任加工 保乳手术应用于早期乳腺癌的临床疗效研究 贺洪洲，贺春梅，吴 斌 （附属医院科 四川646000） 2007年12月至2009年12月收治的60例早期乳腺癌患者临床资料，将其分为观察组和对照组，每组30例，对照组实施乳腺癌改良根治手术治疗，观察组实施保乳根治手术治疗，比较2组患者的临床疗效与并发症发生率。结果：2组手术时间、术中出血量、术后引流量、术后住院时长比较，观察组均明显优于对照组（P＜0.05）。观察组患者术后患肢水肿、切口感染、皮下积液的发生率和对照组比较无显著性差异（P＞0.05），其5年生存率比较也无显著性差异（P＞0.05）；观察组和对照组外观美学效果满意率分别为96.67%和10.00%，观察组明显优于对照组（P＜0.05）。结论：对早期乳腺癌患者实施保乳手术，既能保证患者治疗效果，也能保证患者的乳房美观，值得临床推广与应用。 【关键词】保乳手术；早期乳腺癌；改良根治术 【中图分类号】R737.9 【文献标识码】A DOI:10.11851/j.issn.1673-1557.2017.02. efficacy of breast-conserving surgery in treatment of early breast cancer HE Hongzhou, HE Chunmei, WU Bin (Department of Breast Surgery, Affiliated Hospital of Southwest Medical College, Luzhou, Sichuan 646000, China) 【Abstract】Objective: To explore the therapeutic effect of breast-conserving surgery on early breast cancer. Methods: 60 cases of breast cancer in our hospital from December 2007 to December 2009 were randomly divided into two groups: observation group (n=30) and control group (n=30).The control group received modified radical mastectomy while the observation group received breast-conserving surgery. The clinical efficacy and the incidence of complications were compared between the two groups. Results: The operation time, intraoperative blood loss, postoperative drainage volume and postoperative hospital days of the observation group were significantly better than those of the control group (P＜0.05); there were no significant differences in the incidences of postoperative limb edema, wound infection and subcutaneous hydrops between the two groups (P＞0.05),and 5 year survival rate also had no significant difference between the two groups (P＞0.05); the observation group showed significantly better aesthetic effect than the observation group (96.67% vs 10.00%,P＜0.05). Conclusion: Breast-conserving surgery in the treatment of early breast cancer can not only improve clinical efficacy, but also ensure patients breast appearance. Therefore, it is worthy of clinical app