325例女性乳腺癌外科治疗体会

SURGICAL MANAGEMENT OF WOMEN BREAST CANCER-A REPORT OF 325 CASES

目的：总结女性乳腺癌外科治疗．减少并发症的发生，提高治疗效果。方法：对325例女性乳腺癌外科治疗临床分析。结果：325例女性乳腺癌患者中，37例Ⅰ－Ⅱ期患者为术前误诊者；Ⅰ－Ⅱ期患者190例。其中142例行根治术，占74．7％，48例行改良根治术．占25．3％。术后并发症有皮下积液者120例，占36．9％．皮瓣坏死45例．发生率13．8％；严重上肢水肿8例，发生率2．5％。结论：减少误诊，正确合理选择术式及规范的操作是提高治愈率，提高生存质量，减少术后并发症的关键。

Objective To improve the management of woman breast cancer and to reduce complications by review surgical treatment of woman breast cancer. Methods Analyze the clinic parameters of 325 cases of woman breast cancer. Results 190 cases were stage Ⅰ -Ⅱ. of which 37 cases were misdiagnosed. 142 case treated hy radical mastectomy (74.4% ). 48 cases treated by modified radical mastectomy, that is, Patey's or auchincloss operation (25.3%). There were following surgical complications: 120 cases of hypodermal seroma (36. 9%), 45 cases of dermal petal necroses (13. 8 %). 8 cases of server arm edema (2. 5 % ). Conclusion Reasonable operational patiern and avoiding misdiagnosis are pivotal to high cure rate and good life quality and reduced complications.