保乳术与改良根治术治疗乳腺癌疗效对比分析.docVIP

保乳术与改良根治术治疗乳腺癌的疗效对比分析 　　[摘要] 目的 探?保乳术与改良根治术治疗乳腺癌的疗效对比及分析。方法 随机选取自2011年10月―2014年10月期间该院收治100例乳腺癌患者，并依据年份分为两组。研究组（n=50）接受保乳术治疗，对照组（n=50）接受改良根治术治疗。比较分析两组治疗效果。 结果 研究组与对照组术后乳房美观优良率分别为94.00%、72.00%，差异有统计学意义（χ2=8.575 5，P=0.0034）；研究组术后HAMA评分（12.68±5.45）分、HRSD评分（11.40±4.99）分与对照组均差异有统计学意义（HAMA评分t=11.708 9，P=0.000 0；HRSD评分t=11.953 5，P=0.000 0）；研究组术后复发率（6.00%）与对照组（8.00%）差异无统计学意义（χ2=0.153 6，P=0.695 1），研究组术后转移率（8.00%）与对照组（10.00%）差异无统计学意义（χ2=0.122 1，P=0.726 8），研究组术后1年生存率（88.00%）与对照组（92.00%）差异无统计学意义（χ2=0.4444，P=0.5450），研究组术后3年生存率（72.00%）与对照组（86.00%）差异无统计学意义（χ2=2.953 6，P=0.085 7）。结论 保乳术与改良根治术治疗乳腺癌的疗效相当，但前者更可以提高患者乳房美观度，缓解患者心理状态，提高患者生活质量。 　　[关键词] 保乳术；改良根治术；乳腺癌；疗效 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0050-03 　　Comparison and Analysis of Curative Effect of Breast Conserving Surgery and Modified Mastectomy in Treatment of Breast Cancer 　　ZENG Ling-gang 　　Department of General Surgery， Hospital of Liuzhou Steel Group Co. Ltd， Liuzhou， Guangxi， 545000 China 　　[Abstract] Objective To study the curative effect of breast conserving surgery and modified mastectomy in treatment of breast cancer. Methods 100 cases of patients with breast cancer diagnosed in our hospital from October 2011 to October 2014 were random selected and divided into two groups with 50 cases in each， the research group and the control group were respectively treated with breast conserving therapy and modified mastectomy， and the treatment effect was compared between the two groups. Results After surgery， the excellent and good rate of breast beauty in the research group and in the control group was respectively 94.00%，72.00%， and the difference was obvious （χ2=8.575 5，P=0.003 4）； after surgery， the HAMA score and HRSD score in the research group were respectively （12.68±5.45）points and（11.40±4.99）points， and the differences were statistically significant， （HAMA score t=11.708 9，P=0.000 0； HRSD score t=11.953 5，P=0.000 0）， and the recurrent rate in the research group and in the control group was respe