乳腺癌改良根治术与标准根治术的疗效分析

Effect analysis on modified radical mastectomy and radical mastectomy

目的探讨乳腺癌改良根治术与标准乳腺癌根治术的治疗效果。方法将58例乳腺癌患者随机分为两组,各29例。观察组采用乳腺癌改良根治术治疗,对照组采用标准乳腺癌根治术治疗。随访12个月,比较两组术后并发症发生率及复发率。结果观察组术后并发症发生率为6.90%,低于对照组的27.59%(P<0.05);随访12个月,两组复发率比较差异无统计学意义(P>0.05)。结论乳腺癌改良根治术可有效降低近期并发症发生率,达到标准术式的远期疗效,值得在临床推广应用。

Objective To compare clinical effect of modified radical mastectomy and radical mastectomy. Methods Fiftyeight cases of breast cancer were selected and randomly divided into the research group and the control group and each group had 29 cases. The research group underwent modified radical mastectomy while the control group underwent radical mastectomy,and the time of follow-up visit were 12 months. Complications and recurrence rates of two groups were compared. Results The incidence rate of postoperative complications of research group（ 6. 90%）,such as the skin flap necrosis,wounds effusion and upper limb swelling were lower than those of the control group（ 27. 59%,P〈0. 05）. After 12 months of follow-up visit,the difference of the recurrence rates for two groups had no statistical significance（ P〈0. 05）. Conclusion Modified radical mastectomy can effectively reduce the incidence of complications,achieve the forward curative effect of traditional surgery and is worth to be widely used clinically.