保乳术在乳腺癌治疗中的应用及临床预后分析

Application of Breast-conserving Surgery in the Treatment of Breast Cancer and Analysis of Its Clinical Prognosis

目的探讨乳腺癌治疗中应用保乳术的临床效果及其预后情况。方法方便选择该院2015年1月—2018年1月收治的乳腺癌患者30例作为研究对象,根据手术方式不同分为整形保乳术组15例,常规保乳术组15例,对照两组术后疗效。结果整形保乳术组患者术后乳房美观效果优良率明显高于常规保乳术组(93.33%vs 60.00%,χ2=8.3593,P=0.015 3<0.05);两组患者在术前FACT-B评分、HAMA评分、HRSD评分上差异无统计学意义(44.87±12.29)分vs(44.71±12.94)分,(35.88±3.21)分vs(35.72±3.18)分,(36.67±3.65)分vs(36.78±3.81)分(t=0.034 7,0.137 1,0.080 7,P=0.972 5,0.891 9,0.9362,P>0.05)],术后整形保乳术组患者FACT-B评分显著高于常规保乳术组[(96.09±15.43)分vs(70.89±14.52)分(t=4.6064,P=0.000 1<0.05)],而HAMA评分、HRSD评分显著低于常规保乳术组[(12.47±5.21)分vs(22.09±4.56)分,(12.98±5.63)分vs(22.94±4.96)分,(t=5.381 2,5.141 1,P=0.000 0,0.000 0<0.05]。结论乳腺癌治疗中应用整形保乳术治疗,值得推广。

Objective This paper tries to investigate the clinical effect and prognosis of breast-conserving surgery in the treatment of breast cancer. Methods 30 patients with breast cancer who were admitted to this hospital from January 2015 to January 2018 were convenient selected as study subjects. According to the operation methods, 15 patients were divided into plastic surgery group, 15 were routine breast surgery group, and the postoperative efficacy of the two groups were compared.Results The cosmetic breast-conserving surgery group had significantly better breast aesthetic results than the conventional breast-conserving surgery group（93.33% vs 60.00%, χ2=8.359 3, P=0.015 3 0.05）; the preoperative FACT-B scores in both groups, there was no significant difference between HAMA score, HRSD score [（44.87±12.29）points vs（44.71±12.94）points,（35.88±3.21）points vs（35.72±3.18）points,（36.67±3.65）points vs（36.78±3.81）points（t=0.034 7, 0.137 1, 0.080 7, P=0.972 5, 0.891 9, 0.936 2 0.05], FACT-B scores were significantly higher in the postoperative PCG group than in the conventional breast conservation group [（96.09±15.43）points vs（70.89±14.52）points（t=4.606 4,P=0.000 1 0.05）], while HAMA score and HRSD score were significantly lower than conventional breast conserving surgery group [（12.47 ±5.21）points vs（22.09 ±4.56）points,（12.98 ±5.63）points vs（22.94 ±4.96）points（t=5.381 2, 5.141 1, P=0.000 0, 0.000 0 0.05]. Conclusion The use of plastic surgery for breast cancer treatment is worth promoting.