保乳手术与改良根治术治疗早期乳腺癌的临床疗效比较

Comparison of the Clinical Efficacy Between Breast Conserving Surgery and Modified Radical Mastectomy for Early Breast Cancer

目的探究保乳手术与改良根治术治疗早期乳腺癌的临床疗效。方法选取早期乳腺癌患者共86例,纳入时间为2015年3月—2016年3月,以随机的方式分成两组;其中,对照组43例给予改良根治术治疗,观察组患者给予保乳手术治疗,对比两组患者的手术指标及术后并发症发生率。结果观察组手术时间、住院时间,均低于对照组(P<0.05);观察组术中出血量少于对照组(P<0.05);此外,观察组术后并发症总发生率为2.33%,比对照组的18.60%低(P<0.05)。结论早期乳腺癌患者应用保乳手术治疗的效果良好,能减少术中出血量,缩短手术时间及住院时间,降低术后并发症发生率。

Objective To explore the clinical effcacy of breast conserving surgery and modifed radical mastectomy in the treatment of early breast cancer. Methods Eighty-six patients with early breast cancer who were treated in our hospital from March 2015 to March 2016 were included in the study. The patients were divided into two groups. 43 patients in the control group were treated with modified radical mastectomy, the observation group were treated with breast conserving surgery, surgical indicators and postoperative complications were compared between two groups. Results There were signifcant differences between the two groups in the operation time, the hospitalization time and the intraoperative blood loss （P〈0.05）. The incidence of postoperative complications in observation group was 2.33%, signifcantly lower than 18.60% of the control group, the difference between the two groups was statistically signifcant （P 〈0.05）. Conclusion The effect of breast conserving surgery in patients with early breast cancer is good, which can reduce the operation time and hospitalization time and reduce the incidence of postoperative complications.