保乳手术对早期老年乳腺癌患者疗效及生存质量的评估研究

The Evaluation of the Effect and Quality of life on Breast-conserving Surgery in elder Patients with Breast Cancer in earlier stage

目的:分析保乳手术对老年乳腺癌患者的疗效及其生存质量评估。方法:选取天津肿瘤医院(进修学习医院)及我院180例早期乳腺癌患者行回顾性研究,其中56例患者行保乳手术,124例患者行根治手术。结果:保乳手术组具有住院时间较短、手术时间较短、术中出血少等优势,和根治术组(标准根治术组+改良根治术组)相比有统计学差异;两组患者生存率、远处转移、术后复发等方面均无统计学差异;保乳术组患者心理因子、躯体因子、精神因子和社会支持因子四个方面均显著优于根治术组;术后乳房外观及美容效果保乳术组和根治术组相比有显著统计学差异。结论:早期乳腺癌患者保乳手术近期疗效较满意,严格掌握相关手术指征、规范切除和术后放化疗等综合治疗措施是保乳手术成功的关键。

Objective ：TBZWTo Evaluate the Effect and Quality of life on Breast - conserving Surgery in eider Patients with Breast Cancer in earlier stage. Methods： 180 patients with breast cancer from Tianjin and Qinghai were retrospectively studied. Among them, 56 cases were conducted with breast - conserving surgery and 124 cases were accepted traditional surgery. Results： The group conducted with breast - conserving surgery showed obvious superiority on LOS, shorter operation time and less bleeding rate compared with other group and had statistical difference. There were no statistical difference between the two groups concerning mortality rate, metastasis and recur- rence. Conclusions：The effect of Early breast - conserving surgery is satisfactory if obey the operation indication and applying the methods of chemoradiotherapy.