早期乳腺癌行保乳手术与改良根治术治疗的临床效果

Clinical efficacy of breast conserving surgery and modified radical mastectomy in early breast cancer

目的探讨早期乳腺癌行保乳手术与改良根治术治疗的临床效果。方法选取2011年5月至2014年5月在本院就诊的早期乳腺癌患者130例,将其分为研究组和对照组,各65例,分别给予保乳手术和改良根治术治疗。比较两组患者手术时间、出血量和住院时间、术后乳房美容效果以及复发率和生存率。结果研究组的手术时间和住院时间均短于对照组,出血量少于对照组,术后乳房形态优良率高于对照组,差异有统计学意义(P<0.05)。两组的术后1年复发率、1年生存率、3年复发率和3年生存率差异均无统计学意义(P>0.05)。结论保乳手术比改良根治术更具优势,其特殊的优点在提倡社会-心理医学模式的今天尤为重要,为早期乳腺癌的治疗提供一种很好的选择。

Objective To investigate the clinical effects of breast conserving surgery and modified radical mastectomy in early breast cancer. Methods A total of 130 cases of early breast cancer treated in our hospital from May 2011 to May 2014 were divided into the study group and the control group, with 65 cases in each group. The two groups were treated with breast conserving operation and modified radical mastectomy respectively. The operation time, bleeding volume and length of stay,postoperative breast cosmetic effects, recurrence rates and survival rates between the two groups were compared. Results The operation time and length of stay in the study group were shorter than those in the control group, and bleeding volume was less than that in the control group, and the excellent rate of postoperative breast morphology was higher than that in the control group, the differences were statistically significant(P<0.05). The 1 year relapse rate, 1 year survival rate, 3 years relapse rate and 3 years survival rate after surgery between the two groups were not statistically significant(P>0.05). Conclusion Breast conserving surgery is more advantageous than modified radical mastectomy, and its special advantages are especially important in promoting the social psycho medical model today, which provides a good choice for the treatment of early breast cancer.