乳腺癌保乳手术30例治疗体会

Experiences of breast conserving surgery in treatment of 30 cases with breast cancer

目的 探讨应用保乳手术治疗乳腺癌的临床效果.方法 选取本院普外科2004～2009年收治的30例乳腺癌保乳手术患者为研究对象,术后采取常规治疗,辅助放、化疗与内分泌治疗等.结果 患者均未出现复发与远处转移现象,随访3年生存率为100％.术后患者乳房美容效果综合满意率为96.7％.结论 应用保乳手术治疗早期乳腺癌临床较好,保留了患者的乳房外观,乳房外形改变较小,未见患者术后有出血、感染、皮下积液等并发症发生,值得临床推广应用.

Objective To investigate the clinical curative effect of breast conserving surgery in treatment of breast cancer. Methods 30 cases of patients with breast cancer,who adopted breast conserving surgery in our general surgery department from 2004 to 2009,were selected as research objects.They were given postoperative regular treatment, as- sisted with radiotherapy, chemotherapy and endocrine treatment etc. Results No recurrence and distant metastasis phenomenon occurred,and the survival rate was 100% in 3 years of follow-up.The overall satisfaction rate of postoper- ative breast cosmetic effect was 96.7%. Conclusion Breast conserving surgery in treatment of early breast cancer has a good clinical effect,it reserved breast appearance with small change,and postoperative complications such as bleeding, infection and subcutaneous effusion occurred.So it is worthy of clinical popularization and application.