保乳及前哨淋巴结活检术在老年乳腺癌患者中的临床疗效及安全性

Clinical efficacy and safety of breast conserving operation combined with sentinel lymph node biopsy in elderly patients with breast cancer

目的探析保乳+前哨淋巴结活检术(SLNB)在老年乳腺癌患者中的临床疗效及安全性。方法选取本院接受保乳及SLNB治疗的20例乳腺癌患者的临床资料。另外选取同期在本院接受传统手术治疗的62例老年乳腺癌患者作为对照组。比较2组患者的一般资料、围术期情况、术后并发症发生率及心理状况。结果 2组患者的一般资料差异无统计学意义(P>0.05)。观察组患者术中出血量、手术时间、拔管时间及总引流量均明显低于对照组(P<0.01)。观察组患者术后并发症发生率明显低于对照组(P<0.01)。观察组患者术后心理状况明显好于对照组(P<0.01)。结论保乳及SLNB治疗老年乳腺癌患者的临床疗效较为突出,不仅有助于患者术后快速恢复,而且并发症少、生活质量高,值得推广。

Objective To analyze the clinical efficacy and safety of breast conserving operation combined with sentinel lymph node biopsy(SLNB)in elderly patients with breast cancer.Methods Clinical data of 20 elderly patients with breast cancer received breast conserving operation combined with SLNB in our hospital was retrospectively analyzed.Sixty-two elderly patients with breast cancer at the same time received traditional operation in our hospital were chosen as control group.The general information,perioperative condition,the incidence of complications and psychological status between two groups were compared.Results The general information in two groups had no significant differences(P>0.05).The intraoperative blood loss,the operation time,extubation time,the total drainage volume in observation group were obviously lower than that in control group(P<0.01).The incidence of complications in observation group was obviously lower,the psychological status was better than that in control group(P<0.01).Conclusion The clinical efficacy of breast conserving operation combined with SLNB is obvious,it can not only promote postoperative recovery,but also decrease the complication and improve life quality,so it is worth promoting.