改良根治术和保乳术治疗乳腺癌临床应用效果比较.docVIP

改良根治术和保乳术治疗乳腺癌临床应用效果比较 　　[摘要] 目的 研究比较改良根治术和保乳术治疗乳腺癌的临床应用效果。方法 方便选取该院2013年4月―2015年1月期间收治乳腺癌患者65例，根据随机数字表法，分为2组，改良手术组和保乳手术组。保乳手术组手术方式为常规保乳术；改良手术组施行改良根治术。就2组患者手术操作耗时、住院天数、手术过程出血量、乳房美观评分和临床疗效、术后皮下积液、皮缘坏死等并发症发生率进行比较。结果 保乳手术组临床疗效93.04%明显高于改良手术组78.13%，术后皮下积液、皮缘坏死等并发症发生率6.06%低于改良手术组31.25%，P0.05。保乳手术组患者手术操作耗时、住院天数、手术过程出血量、乳房美观评分分别（51.74±4.85）min、（5.02±0.53）d、（31.52±7.92）mL、（91.74±4.85）分均优于改良手术组（90.14±10.91）min、（7.98±1.72）d、（75.26±24.57）mL、（72.24±5.93）分，P0.05。结论 保乳手术治疗乳腺癌的临床应用效果确切，手术时间短、创伤少，可减少术后不良现象发生，提高乳房美观度，值得推广应用。 　　[关键词] 改良根治术；乳腺癌；保乳术 　　[中图分类号] R737 [文献标识码] A [文章编号] 1674-0742（2016）11（c）-0057-03 　　[Abstract] Objective To study the comparative and breast modified radical surgery for breast cancer clinical application effect.Methods Convenient selection our hospital during the period of April 2013 to January 2015 treated 65 cases of breast cancer patients， according to random number table method， divided into 2 groups， improved surgical group and breast surgery group. Bao milk the surgical operation method for conventional confirmed breast augmentation； Improved execute modified radical surgery group. Two groups of patients had surgical operation time， hospitalization days， operation process and breast beautiful score and clinical curative effect， postoperative subcutaneous effusion， skin necrosis incidence of complications such as comparison.Results The clinical curative effect of breast conserving surgery group was 93.04% significantly higher than that of the modified operation group 78.13%， the incidence of postoperative subcutaneous effusion， skin necrosis and other complications was 6.06% lower than that of the modified operation group 31.25%， P 0.05. Keep breast surgery group of patients with operation time-consuming， hospitalization， surgery hemorrhage quantity， the breast beautiful score respectively （51.74 ± 4.85）min， （5.02±0.53）d， （31.52±7.92）mL， （91.74±4.85）points were is better than that of the modified operation group （90.14 ±10.91）min， （7.98±1.72）d， （75.