年轻乳腺癌保乳手术治疗预后分析.docVIP

年轻乳腺癌保乳手术治疗预后分析 　　[摘要] 目的 探?年轻乳腺癌保乳手术治疗的预后。方法 选择2011年1月―2016年12月该院收治的80例年轻乳腺癌患者分组。对照组给予改良根治术进行治疗，观察组给予保乳手术治疗，每组40例，比较效果。结果 观察组年轻乳腺癌稳定率92.5%和对照组92.5%相比差异无统计学意义（χ2=0.000，P0.05）；观察组术中手术实施时间、创伤出血总量、平均术后引流量和住院时间（100.12±10.23）min、（141.26±13.57）mL、（146.51±11.61）mL、（12.18±0.72）d优于对照组（151.24±24.13）min、（196.52±24.92）mL、（297.40±22.57）mL、（16.02±0.53）d（t=5.271、6.761、6.813、5.144，P0.05）；干预后观察组心理状态、社会功能、生理健康水平优于对照组（P0.05）。结论 年轻乳腺癌保乳手术治疗的预后良好，值得推广。 　　[关键词] 年轻乳腺癌；保乳手术；预后 　　[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2017）11（a）-0060-03 　　[Abstract] Objective To investigate the prognosis of breast conserving surgery for young breast cancer. Methods From January 2011 to December 2016，80 young breast cancer patients mour hoipifol were divided into groups. The control group was treated with modified radical mastectomy. The observation group was treated with conservative operation，40 cases in each group. Compare the effect. Results There was no significant difference between the observation group and the control group （92.5%，92.5%） there is no sit statistical signficance in the difference，（χ2=0.000，P0.05）.The operation time， total amount of traumatic hemorrhage， average postoperative drainage and hospital stay in the observation group were （100.12±10.23）min，（141.26±13.57）mL，（146.51±11.61）mL and（12.18±0.72）d respectively， which were superior to the control group （151.24±24.13）min，（196.52±24.92）mL，（297.40±22.57）mL，（16.02±0.53）d，（t=5.271，6.761，6.813，5.144，P0.05）. The psychological status， social function and physical health of the observation group were better than the control group after intervention（P0.05）.Conclusion Breast-conserving surgery for young breast cancer has a good prognosis and is worth promoting. 　　[Key words] Young breast cancer； Breast-conserving surgery； Prognosis 　　乳腺癌属于女性常见恶性肿瘤之一，手术是治疗乳腺癌的常见治疗手段。过去对于年轻乳腺癌的治疗也多实施传统改良根治术，但其创伤性高，术后不美观，可降低患者自信，使其出现巨大的身心应激[1]。近年来，保乳手术在乳腺癌治疗中流行，尤其是对于年轻乳腺癌患者，更具有明显优势。该研究选取2011年1月―2016年12月该院收治的80例患者为研究对象，分析了年轻乳腺癌保乳手术治疗的预后，报道如下。 　　1 资料与方法 　　1