整形保乳术与常规保乳术治疗早期乳腺癌的疗效比较

Comparison of Curative Effect of Orthopedic Breast Conserving Surgery and Conventional Breast Conserving Surgery on Early Breast Cancer

目的对早期乳腺癌患者应用整形保乳术与常规保乳术的临床治疗效果进行探究。方法该次研究方便选取105例于2015年6月—2017年10月间该院收治的早期乳腺癌患者,将所选对象分为常规保乳组和整形保乳组,给予常规保乳组患者常规保乳术治疗,给予整形保乳组患者整形保乳术。结果整形保乳组(n=53)患者美容优良率为98.11%,常规保乳组(n=52)患者美容优良率为80.77%,2组差异有统计学意义(χ~2=8.637 8,P=0.031 7)。2组手术时间差异有统计学意义(t=14.712 3,P=0.037 8),2组术中出血量差异有统计学意义(t=13.352 7,P=0.024 4),2组住院时间差异有统计学意义(t=14.554 8,P=0.031 9)。2组血肿发生率差异有统计学意义(χ~2=6.084 7,P=0.021 7),2组切口愈合不良率差异有统计学意义(χ~2=8.148 9,P=0.043 8),2组皮肤退缩率差异无统计学意义(χ~2=0.396 2,P=0.679 2),2组切口感染率差异无统计学意义(χ~2=0.422 7,P=0.714 5)。结论对早期乳腺癌患者应用整形保乳术美容优良率显著高于常规保乳术且能够减少患者术中出血量并可缩短术后住院时间。

Objective To explore the clinical effects of the application of plastic conserving breast-conserving surgery androutine breast-conserving surgery in patients with early breast cancer. Methods This study included 105 patients with early-stage breast cancer who were convenient selected to the hospital between June 2015 and October 2017. The selectedsubjects were divided into conventional breast -protection group and plastic-conserving breast -protection group. Routinebreast-conserving group was given routinely. Breast-conserving treatment was given to patients with orthopaedic breast -conserving surgery. Results The cosmetic and excellent rate was 98.11% in patients with cosmetic breast conserving group（n=53） and 80.77% in conventional breast conserving group （n=52）. There was a statistically significant difference betweenthe two groups （X^2=8.637 8, P=0.031 7）. The difference in operation time between the two groups was statistically significant（t=14.712 3, P=0.037 8）. There was a statistically significant difference in blood loss between the two groups （t=13.352 7,P=0.024 4）. There was a statistically significant difference between the two hospital stays （t=14.554 8, P=0.031 9）. The difference in the incidence of hematoma between the two groups was statistically significant （X^2=6.084 7, P=0.021 7）. Therewas a statistically significant difference between the two groups in the rate of poor wound healing （X^2=8.148 9, P=0.043 8）.There was no statistical difference in the rate of skin recoil between the two groups, （X^2=0.396 2, P=0.679 2）, the incisioninfection rate between the two groups was not statistically significant （X^2=0.427 7, P=0.714 5）. Conclusion The cosmeticand cosmetic rate of plastic breast conserving surgery in patients with early breast cancer is significantly higher than conventional breast conserving surgery and can reduce the intraoperative blood loss and shorten postoperative hospital stay.