改良乳腺癌根治术对乳腺癌患者手术相关情况并发症及生存率影响.docVIP

改良乳腺癌根治术对乳腺癌患者手术相关情况并发症及生存率影响 　　[摘要] 目的 探讨改良乳腺癌根治术对乳腺癌患者手术相关情况、并发症率及生存率的影响。 方法 选取2007年6月～2015年6月在我院收治的30例乳腺癌患者作为研究对象，均给予改良乳腺癌根治术治疗。对患者手术基本情况、2年生存率、并发症及生活质量进行检测。 结果 入组患者均顺利完成手术治疗，平均手术时间（90.23±28.75）min，术中出血量（103.54±32.15）mL，住院时间（8.35±2.63）d。经随访，患者2年生存人数为29例，生存率为96.67%。患者术后出现一定的并发症，出现皮缘坏死1例，患侧上臂运动障碍1例，皮下积液1例，抬举障碍1例，总并发症发生率为13.33%。术后经生活质量评估，患者的生活质量评分与术前比较显著提高（P0.05）。结论 对乳腺癌患者实施改良乳腺癌根治术治疗可以获得理想的近期效果，患者的2年生存率高，并发症发生率低，且能够有效改善患者的生活质量。 　　[关键词] 改良乳腺癌根治术；并发症；生存率 　　[中图分类号] R737.9 [文献标识码] B [文章编号] 1673-9701（2017）34-0046-03 　　Effect of modified radical mastectomy on operative status， complication rate and survival rate in patients with breast cancer 　　GAN Jiabing YANG Bin 　　Department of General Surgery， the Second Peoples Hospital of Jingdezhen City in Jiangxi Province， Jingdezhen 333000， China 　　[Abstract] Objective To investigate the effect of modified radical mastectomy on the operative status， complication rate and survival rate of patients with breast cancer. Methods 30 breast cancer patients who were treated in our hospital from June 2007 to June 2015 were selected as study subjects. All patients were treated with modified radical mastectomy. The basic situation of surgery， 2-year survival rate， complication rate and quality of life of patients were detected. Results All the patients were successfully treated by surgery. The average operation time was（90.23±28.75） min， the intraoperative blood loss was（103.54±32.15） mL and the hospitalization time was （8.35±2.63） d. After follow-up， the 2-year survival number was 29 and the survival rate was 96.67%. Patients had some complications after operation. There was one case of necrosis in the dermal edge， one case of upper limb movement disorder， one case of subcutaneous fluid and one case of lifted obstacle. The total complication rate was 13.33%. By quality of life assessment after surgery， the quality of life score of patients were significantly improved compared with those before surgery（P0.05）. Conclusion The improv