早期乳腺癌保乳治疗与改良根治术的疗效对比

Efficacy comparison of early breast conserving therapy and modified radical mastectomy

目的探讨应用不同外科治疗方法治疗乳腺癌的疗效。方法行保乳手术治疗的24例乳腺癌患者,设立为A组,另外选择同期行改良根治术的24例乳腺癌患者作为对照组。结果保乳手术组的手术时间、术中出血量、住院时间明显短于改良根治术组。保乳手术组的美容效果的优良率明显高于改良根治术组。保乳手术组的术后并发症发生率、局部复发率、远处转移率及手术至局部复发平均时间、手术至远处转移平均时间均明显低于改良根治术组。结论早期乳腺癌保乳手术效果优于改良根治术,具有手术时间短,术中出血少,术后并发症低,美容效果好,术后随访复发率及转移率低等优点,值得推广和应用。

Objective To evaluate efficacy of different surgical methods treatment breast cancer. Methods Line-conserv- ing surgery for 24 cases breast cancer surgery patients, the establishment of group A, the other options over the same peri- od a modified radical mastectomy, 24 breast cancer patients as a control group, set up for the B group, two groups were compared. Results Operative time, blood loss, hospital stay of breast-conserving surgery group, was significantly shorter than the modified radical mastectomy group. Breast-conserving surgery group was significantly superior cosmetic results than modified radical mastectomy group. Breast-conserving surgery group, postoperative complication rate was significantly lower than the modified radical mastectomy group.l-year follow-up after breast-conserving surgery group the local recur- rence rate, distant metastasis and local recurrence of the average time to surgery, surgery to distant metastasis of was signif- icantly lower than the average time points modified radical mastectomy group. Conclusion Early effects of breast conserv- ing surgery superior modified radical mastectomy surgery, has shorter operative time, less blood loss, and lower postopera- tive complications lower, cosmetic results, postoperative follow-up relapse rate and transfer rate, etc., should be promoted and applications.