对比分析保乳手术与改良根治术治疗早期乳腺癌的临床疗效

To Compare the Clinical Efficacy of Breast Conserving Surgery and Modified Radical Mastectomy in the Treatment of Early Breast Cancer

目的对比分析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2016年3月15日~2017年1月10日在本院接受治疗的110例50岁以上乳腺癌患者,按治疗方式的不同分为观察组和对照组,将进行保乳手术的患者作为观察组,将进行改良根治术患者作为对照组,统计出患者术后临床效果评分及术后不良反应发生率。结果两组乳腺癌患者经两种手术治疗后,观察组术后临床效果评分为(76.54±82.23)分,对照组术后临床效果评分为(69.45±77.56)分,经保乳手术的观察组高于对照组,具有统计学意义(P<0.05)。观察组不良反应发生率(3.36%),对照组不良反应发生率为(29.09%),观察组低于对照组,具有统计学意义(P<0.05)。结论经保乳手术的乳腺癌患者,对手术治疗的效果比较满意,创伤小,术后不良发应明显减少,值得临床拓展。

Objective To compare the clinical efficacy of breast conserving surgery and modified radical mastectomy in the treatment of early breast cancer. Methods One hundred and ten cases of breast cancer patients over 50 years in our hospital from March 2016 to January 2017 were collected and divided into control group and experimental group according to therapeutic protocols. The patients in the observation group received modified radical mastectomy, while the patients in the control group received breast conserving surgery. The postoperative clinical effect score and postoperative adverse reaction rate were calculated. Results The clinical effect score of the experimental group was（76.54 ＋ 82.23）, and the clinical effect score of the control group was（69.45 ＋ 77.56）. The experimental group of breast conserving surgery was higher than that of the control group, with statistical significance（P 〈 0.05）. The incidence of adverse reactions was 3.36% in the experimental group and 29.09% in the control group. The experimental group was lower than that of the control group, with statistical significance（P 〈0.05）. Conclusion The breast cancer patients undergoing breast conserving surgery were satisfied with the surgical treatment due to the less trauma, less postoperative adverse reactions, which was worthy of clinical expansion.