改良根治术与保乳术对乳腺癌患者影响研究价值.docVIP

改良根治术与保乳术对乳腺癌患者影响研究价值 　　[摘要] 目的 探究在乳腺癌患者中改良根治术与保乳术在临床的研究效果，并进行对比分析。 方法 整群选取该院 2014年1月―2015年12月间住院部收治的76 例早期乳腺癌患者作为手术研究对象，根据治疗方法不同分为研究组和对照组，对照组患者采取改良根治术治疗，研究组患者采取保乳术治疗，对比两组患者手术情况及术后并发症、患者的满意程度。结果 治疗后的临床效果是更显著，长期治疗效果无显著差异，研究组住院时间（96.38±4.38）min、手术时间（81.34±14.5）min、比对照组手术时间（76.47±15.20）min、住院时间（91.46±10.28）min短，术中出血量（77.3±20.1）以及术后的总并发症率（25.85）%、相对于对照组患者多满意率，差异有统计学意义（P0.05）。 结论 改良根治术治疗乳腺癌与保乳术治疗均具有显著的疗效，但改良根治术手术时间和住院时间均高于保乳术，且前者术中出血量多，术后并发症率高，患者满意度低等不足。改良根治术和保乳手术治疗早期乳腺癌的术后并发症、远期疗效相似，但行保乳手术的患者术后生存质量更高，临床中根据患者意愿和病情灵活选择术士。 　　[关键词] 保乳手术；改良根治术；远程疗效 　　[中图分类号] R737.9 [文献标识码] A [文章编号] 1674-0742（2016）03（c）-0074-02 　　Research Value of Effect of Modified Radical Operation and Breast Conserving Operation on Patients with Mammary Cancer 　　YANG Liang 　　Third Department of General Surgery， Qiqihar Hospital of Traditional Chinese Medicine， Qiqihar， Heilongjiang Province， 161000 China 　　[Abstract] Objective To discuss and comparatively analyze the clinical research effect of modified radical operation and breast conserving operation in treatment of patients with mammary cancer. Methods 76 cases of inpatients with early mammary cancer treated in our hospital from January 2014 to December 2015 were selected as the research object and divided into two groups according to the treatment methods， the control group were treated with modified radical operation， the research group were treated with breast conserving operation， the operation conditions， postoperative complications and satisfactory degrees of the two groups were compared. Results The clinical effect was more obvious after treatment， there was no obvious difference in the long-term treatment effect， the length of stay and operation time in the research group were shorter than those in the control group， [（96.38±4.38） min vs （76.47±15.20） min]， [（81.34±14.5） min vs （91.46±10.28） min]， the intraoperative blood loss and total postoperative complication rate in the observation group were respectively （77.3±20.1） mL and 25.85%，